Individual
MISS AESHA WORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 HYLAN BLVD STE 9B1, STATEN ISLAND, NY 10305-1945
(917) 397-8947
Mailing address
100 S WOOD AVE APT 419, LINDEN, NJ 07036-3364
(908) 374-4653
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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