Basic Information
| Provider Information | |||||||||
| NPI: | 1013457944 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASARO | ||||||||
| FirstName: | ALESSANDRO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 70 MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115704225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165367388 | ||||||||
| FaxNumber: | 5166086717 | ||||||||
| Practice Location | |||||||||
| Address1: | 70 MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115704225 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165367388 | ||||||||
| FaxNumber: | 5166086717 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/25/2017 | ||||||||
| LastUpdateDate: | 02/25/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 041328 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.