Provider Demographics
NPI:1467704296
Name:AIDASANI, MOLLIE ANN (NP)
Entity Type:Individual
Prefix:MRS
First Name:MOLLIE
Middle Name:ANN
Last Name:AIDASANI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:325 W 15TH ST
Mailing Address - Street 2:MOUNT SINAI DOWNTOWN- CHELSEA CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5903
Mailing Address - Country:US
Mailing Address - Phone:212-604-6059
Mailing Address - Fax:212-367-1819
Practice Address - Street 1:325 W 15TH ST
Practice Address - Street 2:MOUNT SINAI DOWNTOWN- CHELSEA CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-5903
Practice Address - Country:US
Practice Address - Phone:212-604-6059
Practice Address - Fax:212-367-1819
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2023-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY421096363L00000X
NYF421096-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner