Ayesha Mannan, DO

NPI #1497243703 in Massapequa, New York

Provider Information

NPI Number
1497243703
Entity Type
Individual
Name
Ayesha Mannan, DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Apr 23, 2018
Last Updated
Jun 23, 2021

Practice Location

Address
515 BROADWAY
ZIP Code
11758-5005
Phone
(631) 667-0388

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Family Medicine

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