Individual
ASHLEY SHIMABUKURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 E MERRICK RD STE 304, VALLEY STREAM, NY 11580-5800
(516) 875-2075
Mailing address
10 E MERRICK RD STE 304, VALLEY STREAM, NY 11580-5800
(516) 875-2075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100084
NY
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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