Individual ProviderAisha AlamStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1468 Madison Ave, Dept. Of Radiology B1234, New York, NY 10029(212) 241-3678PECOS EnrollmentBased on the most recent information from CMS, provider Aisha Alam does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1326781857Provider TypeIndividualFull NameAlam, AishaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/13/2022Last Updated5/29/2023Contact InformationPractice LocationPractice Address1468 Madison Ave, Dept. Of Radiology B1234, New York, NY 10029Phone(212) 241-3678FaxUnlisted FaxMailing LocationMailing Address1468 Madison Ave, New York, NY 10029-6508Phone(212) 241-3678FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer