Individual
ASHLEY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
33 MITCHELL AVE, G-50, BINGHAMTON, NY 13903-1642
(607) 771-2220
(607) 771-2225
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03767966
—
NY
Enumeration date
09/24/2013
Last updated
11/24/2014
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