Organization
ASHA DUA PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHA DUA PC (PHYSICAL MEDICINE AND REHAB)
(718) 251-4878
Entity
Organization
Contact information
Practice address
2035 RALPH AVE, STE B10, BROOKLYN, NY 11234-5300
(718) 251-4878
(718) 968-0573
Mailing address
6 MEADOWBROOK LN, OLD WESTBURY, NY 11568-1112
(718) 251-4878
(718) 968-0573
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
215740
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
215740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02084646
—
NY
05
—
03196967
—
NY
Enumeration date
08/14/2007
Last updated
04/19/2010
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