Individual
JESSICA MARIA AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WESTCHESTER AVE, SUITE 102, BRONX, NY 10461-3512
(718) 597-5558
(718) 823-5494
Mailing address
2510 WESTCHESTER AVENUE, SUITE 102, BRONX, NY 10461
(718) 597-5558
(718) 823-5494
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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