Individual
FAHIMA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
30 W 181ST ST APT 2C, BRONX, NY 10453-3149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021663
NY
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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