Individual
ASHLEY ANNICARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 ROUTE 17M STE 9, GOSHEN, NY 10924-5233
(845) 294-4787
Mailing address
1997 ROUTE 17M STE 9, GOSHEN, NY 10924-5233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
Primary
028597
NY
Other
Enumeration date
05/28/2018
Last updated
04/08/2019
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