Mannan, Ayesha

Mannan, Ayesha is an sole proprietor health care provider with primary practice located at 515 Broadway , Massapequa NY 11758-5005. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mannan, Ayesha can be contacted via phone (631) 667-0388.

Contact Information

Primary practice address
515 Broadway Massapequa NY 11758-5005
Phone: (631) 667-0388
Fax: (631) 968-7705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 308856 New York

Profile Details

NPI number 1497243703
LBN Legal business name Mannan, Ayesha
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2018
Last updated Jun 23rd, 2021 - about 3 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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