Individual
MRS. ASHLEY DECRESCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PINE DR, BRIGHTWATERS, NY 11718-1810
(631) 741-2818
Mailing address
400 PINE DR, BRIGHTWATERS, NY 11718-1810
(631) 741-2818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
397531101
NY
174400000X
Specialist
397636101
NY
174400000X
Specialist
Primary
688222121
NY
Other
Enumeration date
12/09/2012
Last updated
12/09/2012
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