Provider Demographics
NPI:1821397274
Name:BROSKA, ASHLEY LYNN (AUD)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:LYNN
Last Name:BROSKA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LONG POND RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-1154
Mailing Address - Country:US
Mailing Address - Phone:585-225-1100
Mailing Address - Fax:585-225-1112
Practice Address - Street 1:1100 LONG POND RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-1154
Practice Address - Country:US
Practice Address - Phone:585-225-1100
Practice Address - Fax:585-225-1112
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0023271231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist