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Individual

ASHLEY T MILLIKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
STONY BROOK PEDIATRICS PC, 22 RED JACKET STREET, DANSVILLE, NY 14437-1354
(585) 335-5200
(585) 335-8579
Mailing address
22 RED JACKET STREET, DANSVILLE, NY 14437-1354
(585) 335-5200
(585) 335-8579

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677894
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
383408
NY

Other

Enumeration date
08/16/2018
Last updated
09/20/2022
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