Individual
MARIYA UVAYDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 WESTCHESTER AVE, BRONX, NY 10461-4500
(917) 407-2297
Mailing address
72 CEDAR DR, GREAT NECK, NY 11021-2840
(917) 686-8805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
741651911
FEDELIS
—
Enumeration date
02/19/2021
Last updated
02/19/2021
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