# ASHRAF GOHAR MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154038966
- **Authorized official:** JOHN MACTAL (ADMINISTRATOR)
- **Authorized official phone:** (855) 505-8346

## Contact information

- **Practice address:** 4802 25TH AVE, ASTORIA, NY 11103-1021
- **Practice address phone:** (212) 988-2111
- **Mailing address:** 10816 63RD RD, FOREST HILLS, NY 11375-1352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2022
- **Last updated:** 11/01/2022
