Nathan Ashby Dpm Pllc | |
124 Margo Ln, Fayetteville, NY 13066-1529 | |
(315) 736-2080 | |
Not Available |
Full Name | Nathan Ashby Dpm Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 124 Margo Ln, Fayetteville, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609112978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 005863 (New York) | Primary |
Provider Name | Nathan L Ashby |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1003995275 PECOS PAC ID: 2365489432 Enrollment ID: I20100524000543 |
Mailing Address | Practice Location Address |
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Nathan Ashby Dpm Pllc 124 Margo Ln, Fayetteville, NY 13066-1529 Ph: (315) 736-2080 | Nathan Ashby Dpm Pllc 124 Margo Ln, Fayetteville, NY 13066-1529 Ph: (315) 736-2080 |
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