Individual
MS. MADELINE AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1727 AMSTERDAM AVE, 219, NEW YORK, NY 10031-4611
(212) 694-9200
(212) 694-0886
Mailing address
4368 FURMAN AVE., APT #2, BRONX, NY 10466
(212) 694-9200
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
487734-1
NY
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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