Individual
MRS. ASHLEY FOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
410 LAKEVILLE ROAD, SUITE 206, LAKE SUCCESS, NY 11042
(718) 470-7644
Mailing address
410 LAKEVILLE RD STE 206, LAKE SUCCESS, NY 11042-1122
(718) 470-7644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617863-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307363-1
NY
Other
Enumeration date
12/01/2015
Last updated
05/08/2023
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