Individual
ASHLEY CLARK-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(516) 806-6969
Mailing address
119 DEHAVEN DR APT 137, YONKERS, NY 10703-1311
(914) 420-1405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2897918
NY
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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