Individual
ASHLEY MIERKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
3641 ADMIRALTON DR, BRIDGETON, MO 63044-2831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348695
NY
Other
Enumeration date
10/16/2021
Last updated
10/16/2021
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