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Ayesha Mannan, DO
Family Medicine Physician in Massapequa, New York
NPI 1497243703

Ayesha Mannan is a Family Medicine Physician based in West Islip, NY. Ayesha Mannan practices in Massapequa, NY and has the professional credentials of DO. The NPI Number for Ayesha Mannan is 1497243703 and holds a License No. (New York).

The current practice location address for Ayesha Mannan is 515 Broadway, Massapequa, NY and can be reached out via phone at 631-667-0388 and via fax at 631-968-7705.

Location: 515 Broadway, Massapequa, NY, 11795-4927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497243703
Provider Name
Ayesha Mannan
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
515 Broadway, Massapequa, NY, 11795-4927
Phone Number
631-667-0388
Fax Number
631-968-7705
Provider Enumeration Date
04/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
515 Broadway
City
Massapequa
State
New York
Zip
11758-5005
Phone Number
631-667-0388
Fax Number
631-968-7705
person
Provider Business Mailing Address Details
Address
515 Broadway
City
Massapequa
State
New York
Zip
11758-5005
Phone Number
631-667-0388
Fax Number
631-968-7705
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
308856 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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