Provider Demographics
NPI:1962281329
Name:AIYSHA, UNKNOWN
Entity type:Individual
Prefix:DR
First Name:UNKNOWN
Middle Name:
Last Name:AIYSHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AIYSHA
Other - Middle Name:
Other - Last Name:ABDUL RAHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:326 E 148TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5770
Mailing Address - Country:US
Mailing Address - Phone:347-344-2510
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program