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Contact Information

ASHTON A MONDRAGON, PA
1ST AVENUE AT 16TH STREET
EMERGENCY DEPARTMENT
NEW YORK, NY10003
 Phone: 212-420-2840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ASHTON A MONDRAGON · (Male)

NPI Number 1023149416
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/08/2007
Last updated 02/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA9104950
  • NY License # 011716
Hospital affiliation(s)
  • SANTA ROSA MEDICAL CENTER - (Acute Care)
    6002 BERRYHILL RD
    MILTON, FL 32570
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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