Individual
ASHLEY KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
516 S MAIN ST, FREEPORT, NY 11520-5728
(516) 512-9184
Mailing address
516 S MAIN ST, FREEPORT, NY 11520-5728
(516) 512-9184
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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