Healthcare Provider Details

I. General information

NPI: 1699174698
Provider Name (Legal Business Name): ASHLEY BUSSE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2014
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3403 CARMAN RD
SCHENECTADY NY
12303-5357
US

IV. Provider business mailing address

2539 RIDGE RD
GLENVILLE NY
12302-6741
US

V. Phone/Fax

Practice location:
  • Phone: 518-356-9835
  • Fax:
Mailing address:
  • Phone: 518-495-6662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number012481
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: