Dr. Ida Ashley, M.D.
Specialist in Great Neck, NY. Individual provider (NPI-1).
NPI number1760416697
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1760416697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ida Ashley
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 145613 | NY | Yes |
Practice location
107 Northern BlvdSuite 306
Great Neck, NY 11021-4309
Phone 516-482-0080 · Fax 516-482-8653
Mailing address
107 Northern BlvdSuite 306
Great Neck, NY 11021-4309
Phone 516-482-0080 · Fax 516-482-8653
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