Individual provider · Type 1 NPI

Fayrose Fouad Abodeshisha, RPA-C

Surgical Physician Assistant · New York, NY

NPI number 1245482413 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Mailing address

331 Newman Springs Road, Bldg. 2, Suite 220
Red Bank, NJ 07701

Other practice locations

  • 20 Prospect Ave Ste 703, Hackensack, NJ 07601-1963 · (551) 996-4424

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X23 012911 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1245482413

Fayrose Fouad Abodeshisha, RPA-C's National Provider Identifier is 1245482413, issued on Oct 18, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Jan 6, 2025.