Provider Demographics
NPI:1033662473
Name:SHTOFMAKHER, ASYA (MS, PA-C)
Entity Type:Individual
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First Name:ASYA
Middle Name:
Last Name:SHTOFMAKHER
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:800 2ND AVE FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4709
Mailing Address - Country:US
Mailing Address - Phone:212-697-9090
Mailing Address - Fax:212-697-9001
Practice Address - Street 1:800 2ND AVE FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4709
Practice Address - Country:US
Practice Address - Phone:212-697-9090
Practice Address - Fax:212-697-9001
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2021-11-16
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Provider Licenses
StateLicense IDTaxonomies
NY019940-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant