Individual
GLADYS E AIDEYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 STUYVESANT PLZ, MOUNT VERNON, NY 10552-1413
(917) 202-3463
Mailing address
130 STUYVESANT PLZ, MOUNT VERNON, NY 10552-1413
(917) 202-3463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342123
NY
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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