Individual
ASHLEY NICOLE IMBROGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(440) 867-3336
Mailing address
400 E 66TH ST APT 5G, NEW YORK, NY 10065-9316
(440) 867-3336
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383639
NY
Other
Enumeration date
08/28/2023
Last updated
10/03/2023
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