Provider Demographics
NPI:1336633262
Name:SZALKOWSKI, ASHLEY
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:SZALKOWSKI
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 1:48 DOUGLAS LN
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2124
Mailing Address - Country:US
Mailing Address - Phone:716-714-9777
Mailing Address - Fax:
Practice Address - Street 1:48 DOUGLAS LN
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2124
Practice Address - Country:US
Practice Address - Phone:716-714-9777
Practice Address - Fax:716-714-9790
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008774152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist