Provider Demographics
NPI:1629117296
Name:ASOFSKY, STEVEN M (MA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:ASOFSKY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MONTAUK HWY
Mailing Address - Street 2:STE 152
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-3009
Mailing Address - Country:US
Mailing Address - Phone:631-665-9168
Mailing Address - Fax:631-665-9179
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-3012
Practice Address - Country:US
Practice Address - Phone:631-669-7098
Practice Address - Fax:631-669-3736
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008483-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7320196OtherAETNA PPO #
NYAZ00870OtherMDNY PROVIDER #
NY91990OtherVYTRA ID
NY4999952OtherGHI PROVIDER #
NY8953776001OtherCIGNA PROVIDER #
NY2462650OtherAETNA HMO #
NYM10931OtherBLUE CROSS ID#
NY20318POtherHIP ID#
NYP2128236OtherOXFORD PIN #