Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 225157 | NY |
N | 111NI0900X | Internist | 225157 | NY |
N | 207RC0200X | Critical Care Medicine | 225157 | NY |
Y | 207RP1001X | Pulmonary Disease | 225157 | NY |
N | 207RS0012X | Sleep Medicine | 225157 | NY |
NPI | 1073568184 |
---|---|
Provider Name | Dr. John Antonios Ashkar |
First Address | Brooklyn, NY 11209-1458 |
Second Address | Brooklyn, NY 11209-1458 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 14/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02661030 | (05) | NY |
I25486 | (02) | NY |