Individual
ASHLEY SANDIFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 GREAT EAST NECK RD, WEST BABYLON, NY 11704-7821
(631) 422-7282
Mailing address
191 CANDLEWOOD RD, BAY SHORE, NY 11706-2214
(631) 398-4752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061439
NY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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