Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005863-1 | NY |
NPI | 1003995275 |
---|---|
Provider Name | Dr. Nathan Delroy Ashby |
First Address | Fayetteville, NY 13066 |
Second Address | Jamesville, NY 13078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 01/04/2013 |