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Individual

ASHLEE MYERS (FRAZIER)

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 331-1581
Mailing address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497047989
NY
Enumeration date
10/25/2017
Last updated
04/19/2023
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