Individual
JUDYANNE E DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
444 MERRICK RD, LYNBROOK, NY 11563-2460
(516) 526-3800
Mailing address
1174 LAKESHORE DR, MASSAPEQUA PARK, NY 11762-2054
(516) 795-7415
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000763-1
NY
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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