Individual
MS. ASHLEY MARIE DEFOURNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Contact information
Practice address
31 REDLEF ST, EAST PATCHOGUE, NY 11772-4596
(516) 521-7353
Mailing address
2053 23RD ST, ASTORIA, NY 11105-3245
(929) 928-0099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717208
NY
164W00000X
Licensed Practical Nurse
313453
NY
363LF0000X
Family Nurse Practitioner
Primary
350350
NY
Other
Enumeration date
03/03/2015
Last updated
08/14/2023
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