Individual
ASHLEY CANESTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 TERRACE RD, BAYPORT, NY 11705-1523
(631) 809-3081
Mailing address
214 TERRACE RD, BAYPORT, NY 11705-1523
(631) 809-3081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34374701
NY
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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