Individual
MRS. ASHANTE MONIQUE OSEI ASIBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
20460 ANACONDA ROAD, FORT DRUM, NY 13603
(315) 774-1479
Mailing address
21610 COUNTY ROUTE 47, CARTHAGE, NY 13619-8620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004564-01
NY
Other
Enumeration date
10/06/2010
Last updated
12/29/2025
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