Individual
AYANA NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 COURT ST APT 216, UTICA, NY 13502-4073
(315) 269-9122
Mailing address
811 COURT ST APT 216, UTICA, NY 13502-4073
(315) 269-9122
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
34780601
NY
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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