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NPI Code Detail

MEDICARE: AYISHETU A HARUNA

MEDICARE:   AYISHETU A HARUNA
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
1163WC0400XCase Management Registered Nurse839610NY

General Provider Information

NPI Number : 1861351231
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYISHETU A HARUNA
Provider Business Mailing Address
First Line : 3354 CORSA AVE BSMT
Second Line :
City : BRONX
State : NY
Zip : 10469-2809
Country : US
Telephone Number : 347-327-8552
Fax Number : 347-327-8552
Provider Business Practice Location Address
First Line : 3354 CORSA AVE BSMT
Second Line :
City : BRONX
State : NY
Zip : 10469-2809
Country : US
Telephone Number : 347-327-8552
Fax Number : 347-327-8552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ AYISHETU A HARUNA ” Practice Location

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