MEDICARE: RICHARD LAWRENCE ASHTON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	235723	NY

General Provider Information

NPI Number	:	1124038245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LAWRENCE ASHTON DO

Provider Business Mailing Address
First Line	:	5 CLEARWATER DR
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-6301
Country	:	US
Telephone Number	:	516-455-5843
Fax Number	:	718-767-4787

Provider Business Practice Location Address
First Line	:	5 CLEARWATER DR
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-6301
Country	:	US
Telephone Number	:	516-455-5843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	04/28/2020

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