Individual
AISHA NYARI IDDRISU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1894 WALTON AVE, BRONX, NY 10453-6018
(717) 583-3060
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 992-7669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
111661
NY
1041C0700X
Clinical Social Worker
Primary
101510
NY
Other
Enumeration date
09/30/2021
Last updated
12/31/2025
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