Individual
REBECCA AJASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
2054 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
3216 EASTCHESTER RD, BRONX, NY 10469-2703
(646) 239-5099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659759
NY
363L00000X
Nurse Practitioner
Primary
343890
NY
Other
Enumeration date
09/20/2012
Last updated
03/18/2021
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