ASHLEY LYNNE FASSOIS

STONY BROOK, NY
NPI1306669312
Former NameASHLEY LYNNE BONANNO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F311865-01)
Enumeration Date2024-11-07
Last Update Date2024-11-07
Business Address
ASHLEY LYNNE FASSOIS NP
1320 STONY BROOK RD STE 100
STONY BROOK, NY 11790-2222
Phone number: 631-941-2273
Mailing Address
ASHLEY LYNNE FASSOIS NP
236 HOLBROOK AVE
LAKE RONKONKOMA, NY 11779-1841
Phone number: 631-312-2944
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