Individual
AYESHA ANBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5036 JERICHO TPKE, COMMACK, NY 11725-2812
(631) 385-8000
Mailing address
14 MANSFIELD LN, EAST NORTHPORT, NY 11731-4133
(631) 703-5894
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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