Healthcare Provider Details

I. General information

NPI: 1477373272
Provider Name (Legal Business Name): AYESHA SAEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HEMPSTEAD TPKE
HEMPSTEAD NY
11549-0001
US

IV. Provider business mailing address

1 SHELBY CT
EAST NORTHPORT NY
11731-4946
US

V. Phone/Fax

Practice location:
  • Phone: 516-463-6700
  • Fax:
Mailing address:
  • Phone: 347-399-0190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number033314
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: