Individual
ASHLEY PASSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MM.S
Contact information
Practice address
400 E 77TH ST, 12F, NEW YORK, NY 10075-2303
(203) 627-0722
Mailing address
400 E 77TH ST, 12F, NEW YORK, NY 10075-2303
(203) 627-0722
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3580129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12151988
INDIVIDUAL
NY
Enumeration date
06/08/2016
Last updated
05/11/2026
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