Individual
MS. ASHLEY ELIZABETH PENTYCOFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7333 STATE FAIR BLVD # 2, BALDWINSVILLE, NY 13027-9780
(315) 882-3222
Mailing address
7333 STATE FAIR BLVD # 2, BALDWINSVILLE, NY 13027-9780
(315) 882-3222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 300744
NY
Other
Enumeration date
04/23/2011
Last updated
04/23/2011
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