Individual
ASHLEY ELIZABETH BATHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1728 SUNRISE HWY, MERRICK, NY 11566-3745
(516) 536-2800
(516) 536-6820
Mailing address
1728 SUNRISE HWY, MERRICK, NY 11566-3745
(516) 536-2800
(516) 536-6820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9109604
PA LICENSE
FL
Enumeration date
06/28/2016
Last updated
07/29/2021
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