Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 179252 | NY |
NPI | 1043236045 |
---|---|
Provider Name | Dr. Jeffrey Alan Ascherman |
First Address | New York, NY 10087-7036 |
Second Address | New York, NY 10032-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 20/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01580776 | (05) | NY |
179252 | LICENSE (01) | NY |
G03703 | (02) | NY |