Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 205186 | NY |
NPI | 1043217367 |
---|---|
Provider Name | Dr. Christopher Charles Ashley |
First Address | Albany, NY 12211-1644 |
Second Address | Albany, NY 12208-3410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 17/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01976392 | (05) | NY |
H04284 | (02) | NY |