Individual
MAURICIO M AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 PALMER AVE, BRONXVILLE, NY 10708-3403
(914) 787-1000
Mailing address
15 BEVERLY RD, BUFFALO, NY 14208-1218
(860) 249-4071
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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