Individual
ASHLEY DANIELLE HEINLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 MOTOR PKWY STE 401, HAUPPAUGE, NY 11788-5108
(888) 674-2999
Mailing address
40 BUCKSKIN LN, SELDEN, NY 11784-1339
(631) 764-1551
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
342483
NY
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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