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Individual

BRENDA L AYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241010
NY
208M00000X
Hospitalist Physician
Primary
241010
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03029623
NY
Enumeration date
07/17/2006
Last updated
01/06/2017
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