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Individual

DR. ASHLEY SANSOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
347 5TH AVE STE 1402-373, NEW YORK, NY 10016-5010
(929) 777-0173
(877) 929-2508
Mailing address
347 5TH AVE STE 1402-373, NEW YORK, NY 10016-5010
(929) 445-8258
(877) 345-6901

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
779628
NY
163WG0000X
General Practice Registered Nurse
779628
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403503
NY

Other

Enumeration date
08/13/2020
Last updated
01/07/2025
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