Provider Demographics
NPI:1457825895
Name:COLLINS, ASHER DAVID (OTR)
Entity Type:Individual
Prefix:
First Name:ASHER
Middle Name:DAVID
Last Name:COLLINS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 ROUTE 45 STE 102
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1123
Mailing Address - Country:US
Mailing Address - Phone:845-570-5260
Mailing Address - Fax:
Practice Address - Street 1:873 ROUTE 45 STE 102
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-1123
Practice Address - Country:US
Practice Address - Phone:845-570-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023214-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist