Individual
DR. ASHLEY C.E. BERNOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 MAPLE RD STE 100, WILLIAMSVILLE, NY 14221-3291
(716) 859-1168
(716) 580-7396
Mailing address
705 MAPLE RD STE 100, WILLIAMSVILLE, NY 14221-3291
(716) 859-1168
(716) 580-7396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
299524
NY
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
299524
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05773148
—
NY
Enumeration date
07/28/2016
Last updated
04/16/2026
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