Organization
ELISEO ASENCIO M.D.P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISEO ASENCIO MD (MD)
(718) 426-6400
Entity
Organization
Contact information
Practice address
5955 47TH AVE, WOODSIDE, NY 11377-5662
(718) 426-6400
(718) 803-3808
Mailing address
5955 47TH AVE, WOODSIDE, NY 11377-5662
(718) 426-6400
(718) 803-3808
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
147897
NY
Other
Enumeration date
07/17/2008
Last updated
08/12/2008
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