Individual
MR. AYMAN YAACOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-3101
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019561
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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