Basic Information
Provider Information
NPI: 1215103759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKBER
FirstName: ASRA
MiddleName: ALI
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 843 1ST AVE
Address2:  
City: WESTBURY
State: NY
PostalCode: 115903722
CountryCode: US
TelephoneNumber: 5168337360
FaxNumber:  
Practice Location
Address1: 400 SUNRISE HIGHWAY
Address2:  
City: AMITYVILLE
State: NY
PostalCode: 11707
CountryCode: US
TelephoneNumber: 6312644000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/05/2008
LastUpdateDate: 05/05/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X248228NCY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


Home