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Organization

ASHRAF MEDICAL PRACTICE P.C.

Active
Other names
RENU MEDI-SPA
Organization subpart
No

Provider details

NPI number
Authorized official
KATELIN ANNE BUICE (CREDENTIALING)
(845) 527-9260
Entity
Organization

Contact information

Practice address
942 ROUTE 376 STE 17, WAPPINGERS FALLS, NY 12590-6484
(845) 218-5007
Mailing address
942 ROUTE 376 STE 17, WAPPINGERS FALLS, NY 12590-6484

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/08/2022
Last updated
08/19/2022
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