Individual
AYASHA BISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14019 BEECH AVENUE, APT 4B, FLUSHING, NY 11355-2810
(347) 393-2545
Mailing address
14019 BEECH AVENUE, APT 4B, FLUSHING, NY 11355-2810
(347) 393-2545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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