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NPI Code Detail

MEDICARE: AISHA SHILLINGFORD

MEDICARE: AISHA SHILLINGFORD
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1396359121
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHA SHILLINGFORD
Provider Business Mailing Address
First Line : 750 TILDEN ST
Second Line :
City : BRONX
State : NY
Zip : 10467-6013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 TILDEN ST
Second Line :
City : BRONX
State : NY
Zip : 10467-6013
Country : US
Telephone Number : 718-231-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 06/01/2026

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Directions to “ AISHA SHILLINGFORD ” Practice Location

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