Individual
AHISHAKIYE NADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 E ADAMS ST, SYRACUSE, NY 13210-2576
(315) 464-5240
Mailing address
111 BLOSSOM RD, SYRACUSE, NY 13224-1543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035625
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
03/27/2026
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