Individual
ASHLEY MARIE MAXAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 W GENESEE ST STE 3, CAMILLUS, NY 13031-2177
(315) 470-7409
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3433
(315) 701-2525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
03/11/2021
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