Individual
AYESHA BAKHTIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
226 N MAIN ST, NEW CITY, NY 10956-5302
(845) 204-8480
(845) 502-9520
Mailing address
226 N MAIN ST, NEW CITY, NY 10956-5302
(845) 204-8480
(845) 502-9520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
332567
NY
Other
Enumeration date
03/30/2020
Last updated
10/28/2024
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