Individual
MRS. ASHLEY JEAN MECCHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 807-2899
Mailing address
PO BOX 1559, STONY BROOK, NY 11794-8907
(516) 849-8296
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382902
NY
Other
Enumeration date
04/01/2019
Last updated
06/04/2019
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