Individual
ASHLEY RESTREPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
53 FLORENCE ST, CENTRAL ISLIP, NY 11722-2606
(631) 482-6386
Mailing address
53 FLORENCE ST, CENTRAL ISLIP, NY 11722-2606
(631) 482-6386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10325814
NY
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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