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NPI Code Detail

MEDICARE: MICHAEL ASH LCSW PLLC

MEDICARE: MICHAEL ASH LCSW PLLC
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
11041C0700XClinical Social Worker057950NY

General Provider Information

NPI Number : 1619305026
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL ASH LCSW PLLC
Provider Business Mailing Address
First Line : 1273 WILLIAM FLOYD PKWY
Second Line :
City : SHIRLEY
State : NY
Zip : 11967-1810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1273 WILLIAM FLOYD PKWY
Second Line :
City : SHIRLEY
State : NY
Zip : 11967-1810
Country : US
Telephone Number : 646-261-3215
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL ASH
Credential : LCSW
Telephone Number : 646-261-3215
Provider Enumeration Date : 10/22/2013
Last Update Date : 10/22/2013

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