Individual
ASHLEY SUSAN MONTIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3964 COUNTY ROUTE 17, WILLIAMSTOWN, NY 13493-3817
(315) 480-9731
Mailing address
3964 COUNTY ROUTE 17, WILLIAMSTOWN, NY 13493-3817
(315) 480-9731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
702521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702521
PROFESSIONAL REGISTERED NURSE
NY
Enumeration date
06/10/2019
Last updated
06/10/2019
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