Basic Information
Provider Information
NPI: 1578882858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAXENA
FirstName: ASHISH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 525 E 68TH ST
Address2: PAYSON 3
City: NEW YORK
State: NY
PostalCode: 100654870
CountryCode: US
TelephoneNumber: 2127463481
FaxNumber: 2127468246
Practice Location
Address1: 525 E 68TH ST
Address2: PAYSON 3
City: NEW YORK
State: NY
PostalCode: 100654870
CountryCode: US
TelephoneNumber: 2127463481
FaxNumber: 2127468246
Other Information
ProviderEnumerationDate: 05/25/2010
LastUpdateDate: 08/01/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X257512-1NYY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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