Individual
ILAN ASTRACHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 224-9722
Mailing address
259 CRANE RD, CARMEL, NY 10512-4066
(845) 224-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029269
NY
363AM0700X
Medical Physician Assistant
Primary
4752
CT
Other
Enumeration date
07/29/2019
Last updated
02/11/2026
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