Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 254533-1 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 254533-1 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 254533-1 | NY |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 254533-1 | NY |
NPI | 1962723528 |
---|---|
Provider Name | Dr. Ashley Simela |
First Address | Bronx, NY 10457-7703 |
Second Address | Bronx, NY 10457-7703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2010 |
Last Update Date | 04/01/2015 |