Individual
AISHA DAMISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
110 W 137TH ST, APT- 2A, NEW YORK, NY 10030-2586
(718) 671-2100
Mailing address
110 W 137TH ST, APT- 2A, NEW YORK, NY 10030-2586
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300610
NY
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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