Most Relevant Information
Provider Data
NPI Number: | 1003470550 |
Provider Name: | ASHLEE E WHITEHOUSE |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 04/30/2019 |
Last Updated: | 04/30/2019 |
Provider Practice Location
6575 KIRKVILLE RD STE 1
EAST SYRACUSE
NY
130579809
Practice Location Phone/Fax
Phone: | 3157015710 |
Fax: |
Provider Mailing Location
6575 KIRKVILLE RD STE 1
EAST SYRACUSE
NY
130579809
Provider Mailing Phone/Fax
Phone: | 3157015710 |
Fax: |