Provider Demographics
NPI:1255674321
Name:MASSEY, ASHISH C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:C
Last Name:MASSEY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 KNEELAND AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2723
Mailing Address - Country:US
Mailing Address - Phone:631-834-0454
Mailing Address - Fax:
Practice Address - Street 1:120 MINEOLA BLVD STE 460
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4067
Practice Address - Country:US
Practice Address - Phone:516-663-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2822452080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology