Individual
MS. ASHELEY RAE COCKREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 747-6000
Mailing address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014366
NY
Other
Enumeration date
03/06/2007
Last updated
08/13/2014
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