Individual
ASHLEY MASTERPOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 HERITAGE LANDING DR, EAST SYRACUSE, NY 13057-9378
(315) 701-1107
Mailing address
3764 GRAY LEDGE TER, SYRACUSE, NY 13215-8601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
843421141
NY
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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