Healthcare Provider Details

I. General information

NPI: 1366716821
Provider Name (Legal Business Name): ASMA ABDUL RASHID D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 05/14/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2454 MAIN STREET
BRIDGEHAMPTON NY
11932
US

IV. Provider business mailing address

9 SHAWNEE ST
HAMPTON BAYS NY
11946-1741
US

V. Phone/Fax

Practice location:
  • Phone: 631-594-3238
  • Fax: 207-466-8551
Mailing address:
  • Phone: 631-538-8688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number266366
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: