Individual
ASHLEY M GAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 OVERLOOK DR, KIRKWOOD, NY 13795-1413
(607) 759-0263
Mailing address
76 OVERLOOK DR, KIRKWOOD, NY 13795-1413
(607) 759-0263
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
754067131
NY
252Y00000X
Early Intervention Provider Agency
754238131
NY
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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