Individual
MS. AISHA DIANA CRICHLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 CONCOURSE VLG W APT 23C, BRONX, NY 10451-3861
(917) 355-6893
Mailing address
790 CONCOURSE VLG W APT 23C, BRONX, NY 10451-3861
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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