Individual
JENNIFER L ASHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4871 W TAFT RD, LIVERPOOL, NY 13088-4819
(315) 451-4600
Mailing address
117 HERBERT ST, NORTH SYRACUSE, NY 13212-2303
(315) 956-2757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009669
NY
Other
Enumeration date
08/19/2022
Last updated
09/20/2022
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