| Asha Dua Physician Pc | |
|
2035 Ralph Ave Ste B10 Brooklyn NY 11234-5300 | |
| (718) 251-4878 | |
| (718) 968-0573 |
| Full Name | Asha Dua Physician Pc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2035 Ralph Ave, Brooklyn, New York |
| Authorized Official Name and Position | Asha Dua (PHYSICAL MEDICINE AND REHAB) |
| Authorized Official Contact | 7182514878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asha Dua Physician Pc 6 Meadowbrook Ln Old Westbury NY 11568-1112 Ph: (718) 251-4878 | Asha Dua Physician Pc 2035 Ralph Ave Ste B10 Brooklyn NY 11234-5300 Ph: (718) 251-4878 |
| NPI Number | 1669664686 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 04/19/2010 |
| Medicare PECOS PAC ID | 4688755408 |
|---|---|
| Medicare Enrollment ID | O20080229000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669664686 | NPI | - | NPPES |
| 03196967 | Medicaid | NY | |
| 02084646 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 215740 (New York) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 215740 (New York) | Primary |
| Provider Name | Asha Dua |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932165164 PECOS PAC ID: 1153411319 Enrollment ID: I20071212000488 |
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