Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 097423 | NY |
NPI | 1225058563 |
---|---|
Provider Name | Dr. Roy H Ashikari |
First Address | Dobbs Ferry, NY 10522 |
Second Address | Dobbs Ferry, NY 10522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C10636 | (02) |