Provider Demographics
NPI:1902980188
Name:MANSDORF, ASHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHER
Middle Name:
Last Name:MANSDORF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2540
Mailing Address - Country:US
Mailing Address - Phone:516-578-5035
Mailing Address - Fax:
Practice Address - Street 1:858 BRYANT ST
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2540
Practice Address - Country:US
Practice Address - Phone:516-578-5035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034841122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist