Provider Demographics
NPI:1174919823
Name:FORD, ASHLEY ELIZABETH DYE (MD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ELIZABETH DYE
Last Name:FORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1240 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1753
Mailing Address - Country:US
Mailing Address - Phone:212-241-0487
Mailing Address - Fax:212-241-9311
Practice Address - Street 1:1240 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1753
Practice Address - Country:US
Practice Address - Phone:212-241-0487
Practice Address - Fax:212-241-9311
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286538-12084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry