Individual
AVIONNE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
7A GOLDMAN RD, MONROE, NY 10950-4779
(845) 287-5223
Mailing address
7A GOLDMAN RD, MONROE, NY 10950-4779
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
356974
NY
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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