Provider Demographics
NPI:1922378389
Name:BAJAJ, ASHLEY (SPECIAL ED TEACHER)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:BAJAJ
Suffix:
Gender:F
Credentials:SPECIAL ED TEACHER
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:BAJAJ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPECIAL ED TEACHER
Mailing Address - Street 1:548 HILDA ST
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4340
Mailing Address - Country:US
Mailing Address - Phone:516-633-5192
Mailing Address - Fax:516-804-0756
Practice Address - Street 1:548 HILDA ST
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4340
Practice Address - Country:US
Practice Address - Phone:516-633-5192
Practice Address - Fax:516-804-0756
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337086091174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist