Individual
AMER ASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
171 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-5098
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256334
NY
207RH0000X
Hematology (Internal Medicine) Physician
256334
NY
207RX0202X
Medical Oncology Physician
Primary
256334
NY
Other
Enumeration date
04/30/2008
Last updated
06/16/2016
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