Healthcare Provider Details

I. General information

NPI: 1669945390
Provider Name (Legal Business Name): ASHLEY HAMILTON ROMBOUGH APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2019
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ATWELL RD
COOPERSTOWN NY
13326
US

IV. Provider business mailing address

1 ATWELL RD
COOPERSTOWN NY
13326
US

V. Phone/Fax

Practice location:
  • Phone: 607-547-3400
  • Fax:
Mailing address:
  • Phone: 607-547-3480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00915900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: