Healthcare Provider Details

I. General information

NPI: 1962354647
Provider Name (Legal Business Name): ZEV ASH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 MARLBOROUGH RD
CEDARHURST NY
11516-1114
US

IV. Provider business mailing address

413 MARLBOROUGH RD
CEDARHURST NY
11516-1114
US

V. Phone/Fax

Practice location:
  • Phone: 516-569-5404
  • Fax: 516-569-6037
Mailing address:
  • Phone: 516-569-5404
  • Fax: 516-569-6037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: ZEV ASH
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 516-569-5404