Individual provider · Type 1 NPI

Ayesha Mannan, DO

Family Medicine Physician · Massapequa, NY

NPI number 1497243703 Active

Practice location

515 Broadway
Massapequa, NY 11758-5005

Call (631) 667-0388 Map

Fax (631) 968-7705

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927

Other practice locations

1231 Deer Park Ave, North Babylon, NY 11703-3104 · (631) 667-0388

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Family Medicine Physician Primary	207Q00000X	308856 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1497243703

Ayesha Mannan, DO's National Provider Identifier is 1497243703, issued on Apr 23, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Massapequa, NY. The record was last updated on Jun 23, 2021.