MEDICARE: DR. NATHAN DELROY ASHBY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N005863-1	NY

General Provider Information

NPI Number	:	1003995275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN DELROY ASHBY DPM

Provider Business Mailing Address
First Line	:	124 MARGO LANE
Second Line	:	NATHAN ASHBY DPM PLLC
City	:	FAYETTEVILLE
State	:	NY
Zip	:	13066
Country	:	US
Telephone Number	:	315-308-3163
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 SOUTHWOOD HEIGHTS DRIVE
Second Line	:	NATHAN ASHBY DPM PLLC-IROQUOIS NURSING HOME
City	:	JAMESVILLE
State	:	NY
Zip	:	13078
Country	:	US
Telephone Number	:	315-308-3163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	04/01/2013

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