Individual
ASHLEY MARIE PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 NORTHERN BLVD STE 19, GREAT NECK, NY 11021-4802
(516) 829-0030
Mailing address
40 ELK RD, HOPEWELL JCT, NY 12533-5036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028507
NY
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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