| Full Name | Ashley Patrick |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 417 Townline Rd, Commack, New York |
| Authorized Official Name and Position | Ashley E Patrick (BEHAVIOR CONSULTANT) |
| Authorized Official Contact | 6318279189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Patrick 417 Townline Rd Commack NY 11725-2035 Ph: () - | Ashley Patrick 417 Townline Rd Commack NY 11725-2035 Ph: (631) 827-9189 |
| NPI Number | 1215325170 |
|---|---|
| Provider Enumeration Date | 12/30/2014 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215325170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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