Individual
AYE WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
769 ONDERDONK AVE, QUEENS, NY 11385-3711
(718) 334-6190
Mailing address
769 ONDERDONK AVE, RIDGEWOOD, NY 11385-3711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
276512
NY
Other
Enumeration date
01/13/2014
Last updated
09/02/2016
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