Individual
DR. AISHA KIMBERLY PRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2780 RESERVOIR AVE, BRONX, NY 10468-2702
(718) 329-8589
(718) 527-5624
Mailing address
352 HUSSEY RD, MOUNT VERNON, NY 10552-2338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
216856
NY
Other
Enumeration date
10/04/2006
Last updated
05/11/2022
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