Provider Demographics
NPI:1275296691
Name:VALIEV, ASHRAFHON
Entity Type:Individual
Prefix:
First Name:ASHRAFHON
Middle Name:
Last Name:VALIEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 108TH ST # LL
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1350
Mailing Address - Country:US
Mailing Address - Phone:347-350-4989
Mailing Address - Fax:
Practice Address - Street 1:6350 108TH ST # LL
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1350
Practice Address - Country:US
Practice Address - Phone:347-350-4989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies