Individual
ASHTON A MONDRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1ST AVENUE AT 16TH STREET, EMERGENCY DEPARTMENT, NEW YORK, NY 10003
(212) 420-2840
Mailing address
1ST AVENUE AT 16TH STREET, EMERGENCY DEPARTMENT, NEW YORK, NY 10003
(212) 420-2840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011716
NY
363A00000X
Physician Assistant
PA9104950
FL
Other
Enumeration date
03/08/2007
Last updated
02/22/2019
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