Individual
AYESHA NIAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
6 MEDICAL PLZ, GLEN COVE, NY 11542-2108
(516) 234-5079
Mailing address
6 MEDICAL PLZ, GLEN COVE, NY 11542-2108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021128
NY
Other
Enumeration date
01/05/2024
Last updated
01/09/2026
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