Individual
ASHLEY AGENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715
(631) 419-6737
Mailing address
263 BLUE POINT AVENUE, BLUE POINT, NY 11715
(631) 419-6737
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
684008-1
NY
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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