Healthcare Provider Details

I. General information

NPI: 1710896923
Provider Name (Legal Business Name): ASHRAF MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1862 PLEASANTVILLE RD
BRIARCLIFF MANOR NY
10510-1025
US

IV. Provider business mailing address

900 ROUTE 376 STE H
WAPPINGERS FALLS NY
12590-6496
US

V. Phone/Fax

Practice location:
  • Phone: 845-204-9260
  • Fax:
Mailing address:
  • Phone: 845-204-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATELIN ANNE BUICE
Title or Position: BILLING ADMIN/CREDENTIALING
Credential:
Phone: 845-204-9260