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Individual

AISHA M PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-2500
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
604459-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F340288-1
NY

Other

Enumeration date
09/15/2016
Last updated
11/11/2021
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