Provider Demographics
NPI:1992165716
Name:JAFRI, AILYA BATOOL
Entity type:Individual
Prefix:
First Name:AILYA
Middle Name:BATOOL
Last Name:JAFRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137-60 45TH AVE
Mailing Address - Street 2:APT. 1D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:646-250-3359
Mailing Address - Fax:
Practice Address - Street 1:13760 45TH AVE
Practice Address - Street 2:APT. 1D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4064
Practice Address - Country:US
Practice Address - Phone:646-250-3359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator