Provider Demographics
NPI:1215103759
Name:AKBER, ASRA ALI (MD)
Entity type:Individual
Prefix:
First Name:ASRA
Middle Name:ALI
Last Name:AKBER
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 1:843 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3722
Mailing Address - Country:US
Mailing Address - Phone:516-833-7360
Mailing Address - Fax:
Practice Address - Street 1:400 SUNRISE HIGHWAY
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11707
Practice Address - Country:US
Practice Address - Phone:631-264-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2482282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry