Individual
FAYROSE FOUAD ABODESHISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-3917
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23 012911
NY
Other
Enumeration date
10/18/2008
Last updated
01/06/2025
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