Provider Demographics
NPI:1528119088
Name:KEMAWIKASIT, ASANEE (MD)
Entity type:Individual
Prefix:DR
First Name:ASANEE
Middle Name:
Last Name:KEMAWIKASIT
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 1:10 LT BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1309
Mailing Address - Country:US
Mailing Address - Phone:845-641-5238
Mailing Address - Fax:
Practice Address - Street 1:175 NAGLE AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-6001
Practice Address - Country:US
Practice Address - Phone:212-544-2001
Practice Address - Fax:212-544-2007
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152311208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics