MEDICARE: ALEESHAH ZAHID

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

General Provider Information

NPI Number	:	1841956869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEESHAH ZAHID

Provider Business Mailing Address
First Line	:	55 SELEY DR
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-3409
Country	:	US
Telephone Number	:	631-943-0745
Fax Number	:

Provider Business Practice Location Address
First Line	:	25602 HILLSIDE AVE
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1618
Country	:	US
Telephone Number	:	718-343-3535
Fax Number	:

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

Provider Enumeration Date	:	11/14/2021
Last Update Date	:	11/14/2021

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