Individual
HEATHER L CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
220 HOFSTRA UNIVERSITY, 112 HOFSTRA DOME, HEMPSTEAD, NY 11549-2100
(516) 463-5196
(516) 463-6275
Mailing address
2912 MORELAND AVE, OCEANSIDE, NY 11572-4726
(516) 282-4009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000870-1
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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