Provider Demographics
NPI:1164861985
Name:BECKER, ASHLEY L (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:L
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 MADISON AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2014
Mailing Address - Country:US
Mailing Address - Phone:646-221-4338
Mailing Address - Fax:
Practice Address - Street 1:274 MADISON AVE RM 300
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0701
Practice Address - Country:US
Practice Address - Phone:212-201-1217
Practice Address - Fax:646-843-7617
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289127207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology