Healthcare Provider Details

I. General information

NPI: 1417703315
Provider Name (Legal Business Name): MISS ASHLEY MONEGRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W 127TH ST FL 3
NEW YORK NY
10027-3723
US

IV. Provider business mailing address

127 W 127TH ST
NEW YORK NY
10027-3723
US

V. Phone/Fax

Practice location:
  • Phone: 212-665-2600
  • Fax:
Mailing address:
  • Phone: 347-265-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: