Individual
ANDREJ ASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
288440
NY
208M00000X
Hospitalist Physician
Primary
288440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04811767
—
NY
Enumeration date
10/10/2014
Last updated
12/04/2018
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