Provider Demographics
NPI:1598502874
Name:ASHBERY, DREW
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:ASHBERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BIRCH CRES APT 4
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1035
Mailing Address - Country:US
Mailing Address - Phone:716-544-4972
Mailing Address - Fax:
Practice Address - Street 1:27 BIRCH CRES APT 4
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1035
Practice Address - Country:US
Practice Address - Phone:716-544-4972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program