Individual
MISS ASHLEY SIGNORILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
514 OGORMAN AVE, STATEN ISLAND, NY 10308-2935
(646) 256-5913
Mailing address
514 OGORMAN AVE, STATEN ISLAND, NY 10308
(646) 256-5913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014995
NY
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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