Individual
ASHLEY LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 WELLINGTON CT, STATEN ISLAND, NY 10314
(347) 359-4055
Mailing address
229 WELLINGTON CT, STATEN ISLAND, NY 10314-7613
(347) 359-4055
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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