Individual
ASHBY SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 AYLWOOD DR, EAST MEADOW, NY 11554-1426
(516) 728-7796
Mailing address
111 AYLWOOD DR, EAST MEADOW, NY 11554-1426
(516) 728-7796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344107-1
NY
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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