Provider Demographics
NPI:1508100223
Name:NEWBURY, ASHLEY NOREEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:NOREEN
Last Name:NEWBURY
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 1:1046 91ST ST
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-2816
Mailing Address - Country:US
Mailing Address - Phone:716-283-1160
Mailing Address - Fax:
Practice Address - Street 1:7510 PORTER RD 11
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1692
Practice Address - Country:US
Practice Address - Phone:716-498-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70012257111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor