Individual
ASHLEY THERESE STASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4860 ONONDAGA RD, SYRACUSE, NY 13215-2241
(315) 426-3420
Mailing address
4364 CINDY LN, SYRACUSE, NY 13215-2410
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
566382-01
NY
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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