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1881669505
LISA MARIE KOMNIK
STONY BROOK, NY
NPI
1881669505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 000038-1)
Enumeration Date
2006-02-17
Last Update Date
2020-09-10
Business Address
Mrs. LISA MARIE KOMNIK MSc, ATC
100 NICHOLLS ROAD SPORTS COMPLEX G33
STONY BROOK, NY 11794-2325
Phone number: 631-632-7164
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Mailing Address
Mrs. LISA MARIE KOMNIK MSc, ATC
155 W ROE BLVD DANZI ATHLETIC CENTER
PATCHOGUE, NY 11772-2325
Phone number: 631-447-3330
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