Individual
AISHA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2132 WALLACE AVE APT 246, BRONX, NY 10462-2504
(917) 414-5715
Mailing address
2132 WALLACE AVE APT 246, BRONX, NY 10462-2504
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130196
NY
Other
Enumeration date
02/23/2019
Last updated
12/03/2019
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