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Individual

MRS. ASHLEY L MOLISANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 332-2170
(315) 359-2488
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22662432
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310616
NY
363LG0600X
Gerontology Nurse Practitioner
310616
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06972449
NY
Enumeration date
10/25/2016
Last updated
09/20/2024
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