Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 252444 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 252444 | NY |
NPI | 1427204106 |
---|---|
Provider Name | Dr. Michael Paul Ast |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2008 |
Last Update Date | 21/12/2020 |