Individual
ASHLEY LAURICELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023587
NY
Other
Enumeration date
07/09/2019
Last updated
07/24/2019
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