Individual
MISS ASHLEY E DASTYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 NORTH MAIN ST., FAIRPORT, NY 14450
(585) 377-2230
Mailing address
290 CORONADO DR, ROCHESTER, NY 14617-4412
(315) 256-5335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019864-1
NY
Other
Enumeration date
04/07/2010
Last updated
09/17/2014
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