Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MELISSA TENEIL AYALA
Active
Individual
MELISSA TENEIL AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017168
NY
363A00000X
Physician Assistant
PA3913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017168
LICENSE
NY
Enumeration date
12/21/2009
Last updated
11/19/2014
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