Individual
DR. ELISSA L. ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
278 BIRCHWOOD PARK DR, JERICHO, NY 11753-2307
(212) 795-8779
Mailing address
278 BIRCHWOOD PARK DR, JERICHO, NY 11753-2307
(212) 795-8779
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
223152
NY
2084N0400X
Neurology Physician
48964
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02717251
—
NY
05
—
7100397370
—
KY
Enumeration date
06/28/2006
Last updated
11/25/2019
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