Provider Demographics
NPI:1124102660
Name:ASOK, ANNA LEE PAQUINGAN (RPT)
Entity type:Individual
Prefix:
First Name:ANNA LEE
Middle Name:PAQUINGAN
Last Name:ASOK
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 57TH STREET
Mailing Address - Street 2:2 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3936
Mailing Address - Country:US
Mailing Address - Phone:718-633-8808
Mailing Address - Fax:
Practice Address - Street 1:825 57TH STREET
Practice Address - Street 2:2 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3936
Practice Address - Country:US
Practice Address - Phone:718-633-8808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027074-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist