Provider Demographics
NPI:1356148811
Name:CAISSY, AIMEE (PA)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:CAISSY
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 NEWARK ST NW APT 1
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-3347
Mailing Address - Country:US
Mailing Address - Phone:404-401-2442
Mailing Address - Fax:
Practice Address - Street 1:2600 VIRGINIA AVE NW STE 100
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1918
Practice Address - Country:US
Practice Address - Phone:202-994-1265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program