Provider Demographics
NPI:1720257108
Name:ASLOYAN MEDICAL PC
Entity type:Organization
Organization Name:ASLOYAN MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-368-2625
Mailing Address - Street 1:2626 E 14TH ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3966
Mailing Address - Country:US
Mailing Address - Phone:718-368-2625
Mailing Address - Fax:718-368-2633
Practice Address - Street 1:2626 E 14TH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3966
Practice Address - Country:US
Practice Address - Phone:718-368-2625
Practice Address - Fax:718-368-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223955207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty