Healthcare Provider Details

I. General information

NPI: 1720906316
Provider Name (Legal Business Name): TASHA BIEN-AIME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 FLATBUSH AVE
BROOKLYN NY
11234-5013
US

IV. Provider business mailing address

672 E 77TH ST
BROOKLYN NY
11236-3316
US

V. Phone/Fax

Practice location:
  • Phone: 718-634-6081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: