Individual
ASHLEY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
420 MARCELLUS RD, MINEOLA, NY 11501-1428
(516) 319-7477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020396
NY
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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