Individual
ASHLEY BLAKE STRONGWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
215 NORTH AVE W, WESTFIELD, NJ 07090-1491
(908) 308-4500
(217) 286-6107
Mailing address
176 S 4TH ST APT 6A, BROOKLYN, NY 11211-5372
(914) 760-8014
(217) 286-6107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016928
NY
363A00000X
Physician Assistant
25MP0061990
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016928
NY STATE LICENSE
NY
01
—
25MP0061990
NJ STATE LICENSE
NJ
Enumeration date
10/29/2013
Last updated
09/10/2021
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