Individual
AYESHA GHAFFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-1234
Mailing address
498 COLLFIELD AVE, STATEN ISLAND, NY 10314-6832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
021028
NY
363A00000X
Physician Assistant
Primary
021028
NY
363A00000X
Physician Assistant
25MP00704000
NJ
363A00000X
Physician Assistant
65680
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/30/2017
Last updated
05/05/2026
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