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Individual

ASHLEE JEANNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
371 KIRKMAN AVE, ELMONT, NY 11003-3121
(516) 521-5362
Mailing address
371 KIRKMAN AVE, ELMONT, NY 11003-3121
(516) 521-5362

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
905347
NY

Other

Enumeration date
07/29/2025
Last updated
07/29/2025
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