Individual
AYESHA NZERIBE HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
STONY BOOK MEDICINE, HSC19-030, STONY BROOK, NY 11794-8191
(631) 444-1791
(631) 444-7689
Mailing address
STONY BOOK MEDICINE, HSC19-030, STONY BROOK, NY 11794-8191
(631) 444-1791
(631) 444-7689
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD048509
DC
Other
Enumeration date
05/15/2013
Last updated
11/27/2020
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