Individual
MISS AISHIA D(929) 318-4063 PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
694 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 634-3445
Mailing address
694 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(929) 318-4063
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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