Individual
ASHLEY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
192 WILSON BLVD, ISLIP, NY 11751-2225
(631) 650-1577
Mailing address
192 WILSON BLVD, ISLIP, NY 11751-2225
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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