Provider Demographics
NPI:1609342096
Name:ASIRA MEDICAL, PC
Entity Type:Organization
Organization Name:ASIRA MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GROVER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-697-2336
Mailing Address - Street 1:3505 HILL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1210
Mailing Address - Country:US
Mailing Address - Phone:516-697-2336
Mailing Address - Fax:646-845-9966
Practice Address - Street 1:3505 HILL BLVD STE C
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1210
Practice Address - Country:US
Practice Address - Phone:516-697-2336
Practice Address - Fax:646-845-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty