Provider Demographics
NPI:1487981973
Name:ASTER OB/GYN PC
Entity type:Organization
Organization Name:ASTER OB/GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FARRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FAHMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-662-6100
Mailing Address - Street 1:240 W 98TH ST
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5552
Mailing Address - Country:US
Mailing Address - Phone:212-662-6100
Mailing Address - Fax:212-662-6101
Practice Address - Street 1:240 W 98TH ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5552
Practice Address - Country:US
Practice Address - Phone:212-662-6100
Practice Address - Fax:212-662-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3744OtherAAAASF ACCREDITATION CERTIFICATE