Healthcare Provider Details

I. General information

NPI: 1184655326
Provider Name (Legal Business Name): ASTA SURGICAL CHEMIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10813 JAMAICA AVE
RICHMOND HILL NY
11418-2243
US

IV. Provider business mailing address

10813 JAMAICA AVE
RICHMOND HILL NY
11418-2243
US

V. Phone/Fax

Practice location:
  • Phone: 718-441-7711
  • Fax: 718-441-2018
Mailing address:
  • Phone: 718-441-7711
  • Fax: 718-441-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANK ROSSETTI
Title or Position: BILLING MGR
Credential:
Phone: 718-441-7711