Ashley Bubolo
Ashley Bubolo is a Physician Assistant in New York, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
419 W 114th StNew York, NY 10025-1710
Phone: (212) 523-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 034237 (NY) |
|---|
Record details
| NPI number | 1730978214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2025 |
| Last updated in NPPES | August 5, 2025 |
| Certification date | August 5, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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