Basic Information
| Provider Information | |||||||||
| NPI: | 1922282227 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RODNEY ASHIR, MD PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 NORTHERN BLVD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | GREAT NECK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110215312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164820500 | ||||||||
| FaxNumber: | 5164665565 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 NORTHERN BLVD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | GREAT NECK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110215312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164820500 | ||||||||
| FaxNumber: | 5164665565 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2007 | ||||||||
| LastUpdateDate: | 12/21/2007 | ||||||||
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| AuthorizedOfficialLastName: | ASHIR | ||||||||
| AuthorizedOfficialFirstName: | RODNEY | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9179412277 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 241573 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.