Provider Demographics
NPI:1063403863
Name:AYE, ZAW ZAW (MD)
Entity type:Individual
Prefix:DR
First Name:ZAW
Middle Name:ZAW
Last Name:AYE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:29 N HAMILTON ST
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-2541
Practice Address - Country:US
Practice Address - Phone:845-454-8204
Practice Address - Fax:845-454-8247
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2012-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY236990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02669450Medicaid
NYI41704Medicare UPIN
NY02669450Medicaid