Provider Demographics
NPI:1821387382
Name:ASHRAF MEDICAL GROUP PLLC
Entity Type:Organization
Organization Name:ASHRAF MEDICAL GROUP PLLC
Other - Org Name:PULSE-MD URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:KATELIN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BUICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-204-9260
Mailing Address - Street 1:900 ROUTE 376
Mailing Address - Street 2:SUITE H
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6494
Mailing Address - Country:US
Mailing Address - Phone:845-204-9260
Mailing Address - Fax:845-204-9257
Practice Address - Street 1:900 ROUTE 376
Practice Address - Street 2:SUITE H
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6494
Practice Address - Country:US
Practice Address - Phone:845-204-9260
Practice Address - Fax:845-204-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03416011Medicaid