Individual
MRS. ASHLEY LAURA SICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 VESTAL PKWY, BINGHAMTON, NY 13902-4600
(607) 732-9253
Mailing address
123 HAYES AVE, ENDICOTT, NY 13760-3102
(607) 743-9253
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09611082
PA
174400000X
Specialist
652874121
NY
174400000X
Specialist
653021121
NY
Other
Enumeration date
06/19/2012
Last updated
06/02/2014
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