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General NPI Number Information
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NPI Number | 1194094300
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Entity Type | Individual
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Provider Name | AYISHA MUNAWAR PA
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Gender | Female
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 50 SHEFFIELD AVE
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City | BROOKLYN
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State | NY
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Zip | 11207-2420
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Country | US
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Telephone | 718-345-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 21214 104TH AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1532
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA101990
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | P82149
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 017284
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License Number State | NY
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