Individual
MRS. ASHLEY FRANCIS HEEDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 984-9022
Mailing address
20 BUNKER HILL DR, OLD BRIDGE, NJ 08857-3803
(917) 417-8297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1461980211
NY
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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