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NPI Code Detail

MEDICARE: MRS. ASHLEY HOLE FNP-BC

MEDICARE: MRS. ASHLEY HOLE FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF335445-1NY

General Provider Information

NPI Number : 1801065297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY HOLE FNP-BC
Provider Business Mailing Address
First Line : 49 W 12TH ST
Second Line : APT 3A
City : NEW YORK
State : NY
Zip : 10011-8562
Country : US
Telephone Number : 609-238-2606
Fax Number :
Provider Business Practice Location Address
First Line : 1275 YORK AVE
Second Line : PEDIATRIC DAY HOSPITAL
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 212-639-7951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2008
Last Update Date : 10/28/2009

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