Individual
AYAN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
819 S. SALINA STREET, SYRACUSE, NY 13202
(315) 476-7921
(315) 475-1448
Mailing address
819 S. SALINA STREET, SYRACUSE, NY 13202
(315) 476-7921
(315) 475-1448
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019117
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04312089
—
NY
Enumeration date
10/12/2015
Last updated
04/05/2016
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