Individual
BIBI AYESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3411 WAYNE AVE, BRONX, NY 10467-2509
(718) 405-8360
Mailing address
1250 WATERS PL, BRONX, NY 10461-2720
(718) 403-8360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290281
NY
Other
Enumeration date
07/31/2012
Last updated
04/06/2018
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