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Emily Ruth Chadwick, ATC

Specialist/Technologist, Athletic Trainer in Great Neck, NY. Individual provider (NPI-1).

NPI number1730692534
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1730692534
Entity type
Individual (NPI-1)
Name
Ms. Emily Ruth Chadwick
Credential
ATC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 15, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer003135NYYes

Practice location

30 Terrace Cir Apt 1c
Great Neck, NY 11021-4187

Phone 603-491-8065

Mailing address

30 Terrace Cir Apt 1c
Great Neck, NY 11021-4187

Phone 603-491-8065

Other practice locations

341 Lakeville Rd
Lake Success, NY 11020-1639

Phone 516-441-4852 · Fax 516-441-4895

90 E Shore Rd
Great Neck, NY 11023-2409

Phone 516-684-1122

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