Individual
AYANNA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
525 THROOP AVE, APT 1B, BROOKLYN, NY 11221-5707
(347) 984-5116
Mailing address
525 THROOP AVE, APT 1B, BROOKLYN, NY 11221-5707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
321824
NY
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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