Individual
DR. AYESHA MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
25 WASHINGTON AVE, UNIT 2, LYNBROOK, NY 11563-2723
(630) 945-6016
Mailing address
25 WASHINGTON AVE, UNIT 2, LYNBROOK, NY 11563-2723
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00324000
NJ
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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