Individual
AISHA SMITH-ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 MEMORIAL HWY, STE 2-1, NEW ROCHELLE, NY 10801-5635
(914) 235-7530
Mailing address
626 RIVERSIDE DR, 6B, NEW YORK, NY 10031-7201
(914) 325-2400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307359-1
NY
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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