Individual
AKHTAR ASHFAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COMMUNITY DR, GREAT NECK, NY 11021-5501
(516) 465-8200
(516) 465-8202
Mailing address
972 BRUSH HOLLOW RD, 4TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
199069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01787544
—
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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