Individual
JAYNE MARIE KITSOS ELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
42 PERSHING AVE, BABYLON, NY 11702-4111
(516) 463-6952
(516) 463-6275
Mailing address
220 HOFSTRA UNIVERSITY 101 HOFSTRA DOME, HEMPSTEAD, NY 11549-0001
(516) 463-6952
(516) 463-6275
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
350-01
NY
Other
Enumeration date
02/14/2007
Last updated
12/19/2017
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