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RYAN ANGELA DIMAYUGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1400 PELHAM PARKWAY SOUTH, BLDG 1, 9 WEST, BRONX, NY 10461
(718) 918-4472
Mailing address
1240 MORRISON AVE APT 5J, BRONX, NY 10472-2727

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
619654
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
619654
NY

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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