Individual
MISS ASHLEY GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
538 BROADHOLLOW RD STE 202, MELVILLE, NY 11747-3668
(631) 741-1609
Mailing address
538 BROADHOLLOW ROAD, SUITE 202, MELVILLE, NY 11747
(631) 741-1609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2346455
NY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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