Provider Demographics
NPI:1063601771
Name:ASO INTEGRATED HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ASO INTEGRATED HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIROTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-596-4357
Mailing Address - Street 1:303 MERRICK RD
Mailing Address - Street 2:SUITE300
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2501
Mailing Address - Country:US
Mailing Address - Phone:516-596-4357
Mailing Address - Fax:516-596-4328
Practice Address - Street 1:303 MERRICK RD
Practice Address - Street 2:SUITE300
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2501
Practice Address - Country:US
Practice Address - Phone:516-596-4357
Practice Address - Fax:516-596-4328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6075220001Medicare NSC