Individual
SHAYLA JOI VEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4436 VERNON BLVD, LONG ISLAND CITY, NY 11101-7006
(718) 707-4241
Mailing address
4436 VERNON BLVD, LONG ISLAND CITY, NY 11101-7006
(718) 707-4241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003015-1
NY
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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