Edwards, Ayisha T

Edwards, Ayisha T is an individual health care provider with primary practice located at 447 Atlantic Ave , Brooklyn NY 11217-1702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Edwards, Ayisha T can be contacted via phone (718) 858-6300.

Contact Information

Primary practice address
447 Atlantic Ave Brooklyn NY 11217-1702
Fax: (718) 858-0145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 059403 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2607541 New York

Profile Details

NPI number 1346456340
LBN Legal business name Edwards, Ayisha T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Apr 30th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346456340 NPPES
New York MEDICAID 03539824

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