Healthcare Provider Details

I. General information

NPI: 1487833430
Provider Name (Legal Business Name): BERNARD W ASHER MD & LILIAN L ORBA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 WASHINGTON AVE
BATAVIA NY
14020-2113
US

IV. Provider business mailing address

190 WASHINGTON AVE
BATAVIA NY
14020-2113
US

V. Phone/Fax

Practice location:
  • Phone: 585-344-1227
  • Fax:
Mailing address:
  • Phone: 585-344-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number096013
License Number StateNY

VIII. Authorized Official

Name: MR. BERNARD W ASHER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 585-344-1227