Provider Demographics
NPI:1447597885
Name:PASHO, AVE MARIA
Entity Type:Individual
Prefix:
First Name:AVE
Middle Name:MARIA
Last Name:PASHO
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 1:105 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-1514
Mailing Address - Country:US
Mailing Address - Phone:315-632-8843
Mailing Address - Fax:
Practice Address - Street 1:105 LAKE ST
Practice Address - Street 2:
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-1514
Practice Address - Country:US
Practice Address - Phone:315-632-8843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist