MEDICARE: ALEENA RASHID

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	021424	NY

General Provider Information

NPI Number	:	1558871806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEENA RASHID

Provider Business Mailing Address
First Line	:	3141 HULL AVE # 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-4503
Country	:	US
Telephone Number	:	646-309-6534
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 W 168TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3702
Country	:	US
Telephone Number	:	212-746-5454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2017
Last Update Date	:	10/01/2017

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Directions to “ ALEENA RASHID ” Practice Location

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