Doctor Name: | DR. NATHAN DELROY ASHBY |
NPI Number: | 1003995275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | N005863-1 |
Business Practice Address: | 4600 Southwood Heights Drive Nathan Ashby Dpm Pllc-iroquois Nursing Home Jamesville, NY - 13078 |
Business Phone Number: | 3153083163 |
Business Fax Number: | |
Mailing Address: | 124 Margo Lane, Nathan Ashby Dpm Pllc FAYETTEVILLE |
State: | NY |
Postal Code: | 13066 |
Phone Number: | 3153083163 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | N005863-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |