Individual
MS. LYNN D WILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
1300 FRANKLIN AVE, SUITE LL2, GARDEN CITY, NY 11530-1886
(516) 663-9099
(516) 663-9092
Mailing address
23 MASSACHUSETTS BLVD, FLORAL PARK, NY 11001-4138
(516) 328-1331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000973
NY
Other
Enumeration date
09/08/2005
Last updated
09/10/2014
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