1366347957 NPI number — AARON ANUM ASIEDU-WIAFE PT, DPT

Table of content: AARON ANUM ASIEDU-WIAFE PT, DPT (NPI 1366347957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366347957 NPI number — AARON ANUM ASIEDU-WIAFE PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ASIEDU-WIAFE
Provider First Name:
AARON
Provider Middle Name:
ANUM
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366347957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
102 MADISON AVE FL 8
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10016-7584
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-759-2282
Provider Business Mailing Address Fax Number:
212-379-2123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 HAMILTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOBBS FERRY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10522-2848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-358-2910
Provider Business Practice Location Address Fax Number:
212-379-2079
Provider Enumeration Date:
10/13/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  056544 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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