Mammen, Ashly

Mammen, Ashly is an individual health care provider with primary practice located at 21418 Hillside Ave , Queens Village NY 11427-1808. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mammen, Ashly can be contacted via phone (646) 651-9197.

Contact Information

Primary practice address
21418 Hillside Ave Queens Village NY 11427-1808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 016266 New York

Profile Details

NPI number 1720131394
LBN Legal business name Mammen, Ashly
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 11th, 2012 - about 12 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 1720131394 NPPES
New York Other 16551385 HIP PRIME HMO

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