Provider Demographics
NPI:1992896518
Name:DRAGA, ASPASIA E (MD)
Entity type:Individual
Prefix:DR
First Name:ASPASIA
Middle Name:E
Last Name:DRAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MALBA DR
Mailing Address - Street 2:
Mailing Address - City:MALBA
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1057
Mailing Address - Country:US
Mailing Address - Phone:718-746-1686
Mailing Address - Fax:
Practice Address - Street 1:4205 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2573
Practice Address - Country:US
Practice Address - Phone:718-428-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162710207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01155802Medicaid
NY11530Medicare ID - Type Unspecified
NY01155802Medicaid