Provider Demographics
NPI:1003995275
Name:ASHBY, NATHAN DELROY (DPM)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DELROY
Last Name:ASHBY
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:124 MARGO LANE
Mailing Address - Street 2:NATHAN ASHBY DPM PLLC
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066
Mailing Address - Country:US
Mailing Address - Phone:315-308-3163
Mailing Address - Fax:
Practice Address - Street 1:4600 SOUTHWOOD HEIGHTS DRIVE
Practice Address - Street 2:NATHAN ASHBY DPM PLLC-IROQUOIS NURSING HOME
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078
Practice Address - Country:US
Practice Address - Phone:315-308-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005863-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery