Individual
ASHLEY ELIZABETH VETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
4 MOUNT SINAI AVE S, PORT JEFFERSON STATION, NY 11776-3214
(631) 617-1711
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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