Individual
ASHLEY ROSE ALBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(316) 342-9575
Mailing address
5616 BUNBURY TER, CLAY, NY 13041-6910
(631) 903-1341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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