Healthcare Provider Details

I. General information

NPI: 1053882548
Provider Name (Legal Business Name): ASNIS DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2018
Last Update Date: 04/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 OLD COUNTRY RD
PLAINVIEW NY
11803-4923
US

IV. Provider business mailing address

135 PINELAWN RD STE 150S
MELVILLE NY
11747-3187
US

V. Phone/Fax

Practice location:
  • Phone: 631-414-7927
  • Fax:
Mailing address:
  • Phone: 631-414-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: HIRO SORIANO
Title or Position: CIO
Credential:
Phone: 516-344-5746