Provider Demographics
NPI:1912540535
Name:HELAL, KAZI AYESHA
Entity Type:Individual
Prefix:
First Name:KAZI
Middle Name:AYESHA
Last Name:HELAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8819 171ST ST FL 1
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4556
Mailing Address - Country:US
Mailing Address - Phone:917-588-7309
Mailing Address - Fax:
Practice Address - Street 1:8819 171ST ST FL 1
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4556
Practice Address - Country:US
Practice Address - Phone:917-588-7309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist