Individual
ASHLEY MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
3 INDEPENDENCE PL, HUNTINGTON STATION, NY 11746-4316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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