MEDICARE: SHELOMIT ASKARINAM

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
1	363A00000X	Physician Assistant	015834	NY

General Provider Information

NPI Number	:	1043637895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELOMIT ASKARINAM

Provider Business Mailing Address
First Line	:	3019 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3019 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5111
Country	:	US
Telephone Number	:	718-373-2700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2014
Last Update Date	:	03/18/2014

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Directions to “ SHELOMIT ASKARINAM ” Practice Location

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