| Eliseo Asencio M.d.p.l.l.c | |
|
5955 47th Ave Woodside NY 11377-5662 | |
| (718) 426-6400 | |
| (718) 803-3808 |
| Full Name | Eliseo Asencio M.d.p.l.l.c |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5955 47th Ave, Woodside, New York |
| Authorized Official Name and Position | Eliseo Asencio (MD) |
| Authorized Official Contact | 7184266400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliseo Asencio M.d.p.l.l.c 5955 47th Ave Woodside NY 11377-5662 Ph: (718) 426-6400 | Eliseo Asencio M.d.p.l.l.c 5955 47th Ave Woodside NY 11377-5662 Ph: (718) 426-6400 |
| NPI Number | 1982868071 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982868071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 147897 (New York) | Primary |
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