Linda Assaf

Individual provider Active NPI Specialist · Freeport, NY

NPI 1972045631 · NPPES record last updated Nov 12, 2016

Key facts

NPI
1972045631
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
Practice address
43 W Seaman Ave
Freeport, NY 11520-1523
Phone
(516) 378-1119
NPI assigned
Nov 12, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Yes

Addresses

Primary practice location

43 W Seaman Ave
Freeport, NY 11520-1523

Mailing address

43 W Seaman Ave
Freeport, NY 11520-1523

Other identifiers

IdentifierTypeStateIssuer
14658925OtherNYEMBLEMHEALTH

Other providers in Freeport, NY

All providers in Freeport, NY · Specialist in New York

Sources for this page

Verify at the official NPI Registry.