Provider Demographics
NPI:1134700446
Name:ASNIS DENTAL PLLC
Entity Type:Organization
Organization Name:ASNIS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:HIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-344-5746
Mailing Address - Street 1:135 PINELAWN RD STE 150S
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-3187
Mailing Address - Country:US
Mailing Address - Phone:631-414-7927
Mailing Address - Fax:631-396-0452
Practice Address - Street 1:134 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:SHOREHAM
Practice Address - State:NY
Practice Address - Zip Code:11786-2131
Practice Address - Country:US
Practice Address - Phone:631-769-4372
Practice Address - Fax:631-396-0452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty