Ashley Penny
Specialist in Syracuse, NY. Individual provider (NPI-1).
NPI number1053780353
StatusActive
Last updated in NPPESNov 2, 2015
Details
- NPI
- 1053780353
- Entity type
- Individual (NPI-1)
- Name
- Ashley Penny
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2015
- Last updated
- Nov 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
171 Intrepid LaneSyracuse, NY 13205
Phone 315-212-1816
Mailing address
171 Intrepid LaneSyracuse, NY 13205
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