Healthcare Provider Details

I. General information

NPI: 1457315244
Provider Name (Legal Business Name): ASMAA MOHAMED HASHIM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4234 BRONX BOULEVARD NORTH AMBULATORY CARE CENTER, DEPT OF PEDIATRICS
BRONX NY
10466-7537
US

IV. Provider business mailing address

14 LUZERN RD DOBBS FERRY
DOBBS FERRY NY
10522-1304
US

V. Phone/Fax

Practice location:
  • Phone: 347-341-4300
  • Fax: 347-341-4304
Mailing address:
  • Phone: 914-591-4099
  • Fax: 347-341-4304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number216006
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: