Provider Demographics
NPI:1871395228
Name:ASLAM, ABBAS
Entity type:Individual
Prefix:
First Name:ABBAS
Middle Name:
Last Name:ASLAM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 CHARLECOTE RDG
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2142
Mailing Address - Country:US
Mailing Address - Phone:929-395-8582
Mailing Address - Fax:
Practice Address - Street 1:8340 CHARLECOTE RDG
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2142
Practice Address - Country:US
Practice Address - Phone:929-395-8582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant