Individual
ASHLEY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(718) 899-9060
Mailing address
167 BEACH 118TH ST, ROCKAWAY PARK, NY 11694-2034
(929) 225-3789
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101742-1
NY
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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