Allen, Ashley Gardner

Allen, Ashley Gardner is an sole proprietor health care provider with primary practice located at 14379 Rt 9W , Ravena NY 12143. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Allen, Ashley Gardner can be contacted via phone (518) 756-3124.

Contact Information

Primary practice address
14379 Rt 9W Ravena NY 12143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1306276126
LBN Legal business name Allen, Ashley Gardner
Credentials MS, SPED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2013
Last updated Nov 14th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306276126 NPPES
New York MEDICAID 03288117

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