Provider Demographics
NPI:1053331397
Name:ASHIKARI, ANDREW Y (MD FACS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:Y
Last Name:ASHIKARI
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N BROADWAY STE 301
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1040
Mailing Address - Country:US
Mailing Address - Phone:914-693-5025
Mailing Address - Fax:914-693-6351
Practice Address - Street 1:777 N BROADWAY STE 301
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1040
Practice Address - Country:US
Practice Address - Phone:914-693-5025
Practice Address - Fax:914-693-6351
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY19613712086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01957560Medicaid
NY812362Medicare UPIN
NY01957560Medicaid