Provider Demographics
NPI:1235135609
Name:BEICKE, ASHLIE S (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLIE
Middle Name:S
Last Name:BEICKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SARATOGA VILLAGE BLVD
Mailing Address - Street 2:STE 33A
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3751
Mailing Address - Country:US
Mailing Address - Phone:518-899-4800
Mailing Address - Fax:518-899-5692
Practice Address - Street 1:100 SARATOGA VILLAGE BLVD
Practice Address - Street 2:STE 33A
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-3751
Practice Address - Country:US
Practice Address - Phone:518-899-4800
Practice Address - Fax:518-899-5692
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU75687Medicare UPIN
NYBB5532Medicare ID - Type Unspecified