Individual
AISHA RENEE SHAIBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 HILTON AVE APT D4, HEMPSTEAD, NY 11550-2137
(516) 207-9494
Mailing address
44 HILTON AVE APT D4, HEMPSTEAD, NY 11550-2137
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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