Individual
MARSHA SANDY-KAY HAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC,CES,PES
Contact information
Practice address
1 UNIVERSITY PLZ, BROOKLYN, NY 11201-5301
(484) 951-6568
Mailing address
407 FERNSIDE PL, FAR ROCKAWAY, NY 11691-2700
(484) 951-6568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002206-1
NY
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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