Individual
ASHLEY NICOLE HIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(845) 596-4216
Mailing address
3 SGT DEMEOLA RD, BLAUVELT, NY 10913-1021
(845) 596-4216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022089-1
NY
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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