Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 22213 | NY |
Y | 213EG0000X | General Practice | 22213 | NY |
NPI | 1003057522 |
---|---|
Provider Name | Dr. Martin Asness |
First Address | N.y., NY 10170-2333 |
Second Address | N.y., NY 10170-2333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2009 |
Last Update Date | 12/03/2009 |