Individual
ANSHA JANNA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 E 77TH ST FL 6, NEW YORK, NY 10075-1851
(212) 434-4763
Mailing address
9734 ATHEY RD, LORTON, VA 22079-2444
(571) 213-5656
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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