Individual
ASHLIE BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11731 195TH ST, SAINT ALBANS, NY 11412-3407
(917) 204-1372
Mailing address
11731 195TH ST, SAINT ALBANS, NY 11412-3407
(917) 204-1372
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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