Individual
MRS. ASHLEY KORNBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 GREENHILLS RD, HUNTINGTON STATION, NY 11746-3905
(516) 777-8777
Mailing address
22 FORDHAM ST, VALLEY STREAM, NY 11581-3223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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