Provider Demographics
NPI:1619389608
Name:ASHBY, VIOLETA CRYSTAL (MD)
Entity Type:Individual
Prefix:DR
First Name:VIOLETA
Middle Name:CRYSTAL
Last Name:ASHBY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 1ST AVE
Mailing Address - Street 2:NBV-8S4-11
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-6425
Mailing Address - Fax:212-263-8172
Practice Address - Street 1:160 W 100TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5145
Practice Address - Country:US
Practice Address - Phone:646-364-0786
Practice Address - Fax:646-364-0780
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289747208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics