Individual
DAVID ASENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
154 E 174TH ST, BRONX, NY 10457-6904
(718) 299-2416
(718) 299-5176
Mailing address
154 E 174TH ST, BRONX, NY 10457-6904
(718) 299-2416
(718) 299-5176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039116
NY
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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