Provider Demographics
NPI:1578388658
Name:ASCEND MEDICINE PLLC
Entity type:Organization
Organization Name:ASCEND MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRAYBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-600-2270
Mailing Address - Street 1:360 MERRICK RD STE 310
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2526
Mailing Address - Country:US
Mailing Address - Phone:516-724-8444
Mailing Address - Fax:
Practice Address - Street 1:360 MERRICK RD STE 310
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2526
Practice Address - Country:US
Practice Address - Phone:516-724-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty