Individual
ASHLEY SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
(845) 794-3799
Mailing address
44 NELSHORE DRIVE, MONTICELLO, NY 12701
(845) 794-8080
(845) 794-3799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322219
NY
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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