Individual
ASHLEY FARNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
10 MILL CREEK RD, NEW CITY, NY 10956-6412
(845) 709-4471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030513
NY
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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