Individual
MRS. ASHLEY LYNN TREADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 419-6737
(631) 868-3498
Mailing address
90 DOG WOOD LN, WADING RIVER, NY 11792-1803
(631) 680-1377
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324480
NY
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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