Healthcare Provider Details

I. General information

NPI: 1902426281
Provider Name (Legal Business Name): ASHLEY ABUDU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY BARNHILL

II. Dates (important events)

Enumeration Date: 04/16/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVE
STATEN ISLAND NY
10305-3436
US

IV. Provider business mailing address

19 MORFORD PL APT 5G
RED BANK NJ
07701-1062
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-8855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036180730
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: