Provider Demographics
NPI:1114570959
Name:PASINKOFF, ASHLEY (TEACHER MSED)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PASINKOFF
Suffix:
Gender:F
Credentials:TEACHER MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6426 230TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2714
Mailing Address - Country:US
Mailing Address - Phone:516-717-8596
Mailing Address - Fax:
Practice Address - Street 1:6426 230TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2714
Practice Address - Country:US
Practice Address - Phone:516-717-8596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1332166191174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist