Healthcare Provider Details

I. General information

NPI: 1386848281
Provider Name (Legal Business Name): ASHIKARI & KELEMEN, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 ASHFORD AVE
DOBBS FERRY NY
10522-1924
US

IV. Provider business mailing address

128 ASHFORD AVE
DOBBS FERRY NY
10522-1924
US

V. Phone/Fax

Practice location:
  • Phone: 914-693-5025
  • Fax: 914-693-6351
Mailing address:
  • Phone: 914-693-5025
  • Fax: 914-693-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number097423
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ANDREW Y ASHIKARI
Title or Position: PRESIDENT
Credential: MD
Phone: 914-693-5025