Individual
ASIYA ABDUR-RASHEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
192 KETTLES LN, MEDFORD, NY 11763-1551
(631) 388-4240
Mailing address
192 KETTLES LN, MEDFORD, NY 11763-1551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34830501
NY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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