Individual
ISMAIAS PICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
719 ISLIP AVE, CENTRAL ISLIP, NY 11722-4813
(917) 485-1666
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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