Individual
ASHLEY BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 FERNDALE AVE, SELDEN, NY 11784-2913
(631) 994-6963
Mailing address
81 FERNDALE AVE, SELDEN, NY 11784-2913
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
761878297
NY
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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