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NPI Code Detail

MEDICARE: MA. LOURDES DE ASIS M.D.

MEDICARE: MA. LOURDES DE ASIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician203287NY

General Provider Information

NPI Number : 1013912989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MA. LOURDES DE ASIS M.D.
Provider Business Mailing Address
First Line : 100 WOODS ROAD
Second Line : AMBULATORY CARE PAVILION, 3RD FLOOR
City : VALHALLA
State : NY
Zip : 10595
Country : US
Telephone Number : 914-493-7518
Fax Number : 914-493-8130
Provider Business Practice Location Address
First Line : 100 WOODS ROAD
Second Line : AMBULATORY CARE PAVILION, 3RD FLOOR
City : VALHALLA
State : NY
Zip : 10595
Country : US
Telephone Number : 914-493-7518
Fax Number : 914-493-8130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/16/2025

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Directions to “ MA. LOURDES DE ASIS M.D.” Practice Location

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