Provider Demographics
NPI:1902133275
Name:ASADA, YOSHIHIRO (LAC)
Entity Type:Individual
Prefix:
First Name:YOSHIHIRO
Middle Name:
Last Name:ASADA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 E 86TH ST
Mailing Address - Street 2:30-C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6458
Mailing Address - Country:US
Mailing Address - Phone:212-794-8633
Mailing Address - Fax:
Practice Address - Street 1:444 E 86TH ST
Practice Address - Street 2:30-C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6458
Practice Address - Country:US
Practice Address - Phone:212-794-8633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28898171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist