Individual
MS. ASHLEY NICOLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12845 BROADWAY ST, ALDEN, NY 14004-1223
(716) 902-5068
Mailing address
12845 BROADWAY ST, ALDEN, NY 14004-1223
(716) 902-5068
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
044697
NY
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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