Individual
ASHLEY MARIA CANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 OAK AVE, SHIRLEY, NY 11967-1905
(631) 332-6749
Mailing address
179 OAK AVE, SHIRLEY, NY 11967-1905
(631) 332-6749
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22703107
NY
Other
Enumeration date
07/13/2015
Last updated
08/14/2015
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