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NPI Code Detail

MEDICARE: GLENROY ASKA M.D

MEDICARE: GLENROY ASKA 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
1213E00000XPodiatristN004200-1NY

General Provider Information

NPI Number : 1558394916
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENROY ASKA M.D
Provider Business Mailing Address
First Line : 110 W 97TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10025-6450
Country : US
Telephone Number : 212-316-7923
Fax Number : 212-316-7945
Provider Business Practice Location Address
First Line : 110 W 97TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10025-6450
Country : US
Telephone Number : 212-316-7923
Fax Number : 212-316-7945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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