Provider Demographics
NPI:1962112540
Name:BOJARSKI, ASHLIE ROSE
Entity type:Individual
Prefix:MRS
First Name:ASHLIE
Middle Name:ROSE
Last Name:BOJARSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 WESTCLIFF DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224
Mailing Address - Country:US
Mailing Address - Phone:716-553-3769
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR AMBULATORY SURGERY 550 ORCHARD PARK ROAD
Practice Address - Street 2:SUITE 102 BUILDING A
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224
Practice Address - Country:US
Practice Address - Phone:716-677-4400
Practice Address - Fax:716-677-4481
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY672331-1163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care