Individual
ASHLEY KUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1045 W JERICHO TPKE, SMITHTOWN, NY 11787-3205
(631) 543-8844
(631) 543-8840
Mailing address
24 CALICO TREE RD, HAUPPAUGE, NY 11788-2624
(516) 581-9457
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307832
NY
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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