Healthcare Provider Details

I. General information

NPI: 1689425605
Provider Name (Legal Business Name): ASHLIE YAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 ROWE RD
KINGSTON NY
12401-7221
US

IV. Provider business mailing address

23 ROWE RD
KINGSTON NY
12401-7221
US

V. Phone/Fax

Practice location:
  • Phone: 919-414-6422
  • Fax:
Mailing address:
  • Phone: 919-414-6422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-322881
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: