Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 218659 | NY |
NPI | 1083617617 |
---|---|
Provider Name | Dr. Ayesha Cheema |
First Address | Saugerties, NY 12477 |
Second Address | Kingston, NY 12401-5144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 14/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02254608 | (05) | NY |
10063817 | CDPHP (01) | NY |
206258 | WELLCARE (01) | |
283336 | MVP (01) | NY |
460003602 | RAILROAD MEDICARE (01) | |
66617 | GHI HMO (01) | |
AC0073AN10 | EMPIRE BLUE CROSS (01) | |
H61743 | (02) | NY |