Most Relevant Information
Provider Data
| NPI Number: | 1003179763 |
| Provider Name: | ASHLEY LAURA SICKLER |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 09611082 |
Most Important Dates
| Enumeration Date: | 06/19/2012 |
| Last Updated: | 06/02/2014 |
Provider Practice Location
4400 VESTAL PKWY
BINGHAMTON
NY
139024600
Practice Location Phone/Fax
| Phone: | 6077329253 |
| Fax: |
Provider Mailing Location
123 HAYES AVE
ENDICOTT
NY
137603102
Provider Mailing Phone/Fax
| Phone: | 6077439253 |
| Fax: |