MEDICARE: ASTROCARE, INC.

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	261QP2300X	Primary Care Clinic/Center	70011198	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427074574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTROCARE, INC.

Provider Business Mailing Address
First Line	:	142-02 20TH AVENUE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11351-9712
Country	:	US
Telephone Number	:	718-559-0516
Fax Number	:	718-762-6140

Provider Business Practice Location Address
First Line	:	1669 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-2009
Country	:	US
Telephone Number	:	718-467-7200
Fax Number	:	718-467-7115

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MS. JACQUELINE HERRERA RIVERA
Credential	:
Telephone Number	:	718-559-0555

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	04/06/2015

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Directions to “ASTROCARE, INC. ” Practice Location

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