Basic Information
Provider Information
NPI: 1437579554
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHRAF
FirstName: SUNYA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1559
Address2:  
City: STONY BROOK
State: NY
PostalCode: 117900989
CountryCode: US
TelephoneNumber: 9734296196
FaxNumber:  
Practice Location
Address1: 500 COMMACK RD
Address2:  
City: COMMACK
State: NY
PostalCode: 117255020
CountryCode: US
TelephoneNumber: 6318349599
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2014
LastUpdateDate: 10/21/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/21/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X290789NYY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home