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Provider Information for 1164945481


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AISHA ZULFIQUAR


Sex: Female

NPI: 1164945481
Last Updated: 2020-08-06
Certification Date: 2020-08-06

Details

NameValue
NPI1164945481
Enumeration Date2017-07-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
United States

Phone: | Fax:
 
Primary Practice Address 1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
United States

Phone: 466-866-3240 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY743540130-00
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - Clinical0
Yes 104100000X - Social Worker NY