Provider Demographics
NPI:1144278474
Name:ASHDOWN, ADRIAN (MD)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:ASHDOWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6279 SOUTH HORNELL RD
Mailing Address - Street 2:STE B
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-9030
Mailing Address - Country:US
Mailing Address - Phone:607-661-4800
Mailing Address - Fax:607-661-4799
Practice Address - Street 1:6279 SOUTH HORNELL RD
Practice Address - Street 2:STE B
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-9030
Practice Address - Country:US
Practice Address - Phone:607-661-4800
Practice Address - Fax:607-661-4799
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206379207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01739817Medicaid
NYJ400089431Medicare PIN
NYG51175Medicare UPIN