Individual
ASHLEY M BORUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
(631) 854-2550
Mailing address
15 HORSEBLOCK PL, FARMINGVILLE, NY 11738-1204
(631) 854-2552
(631) 854-2550
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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