Individual
KATHLEEN A AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP RN
Contact information
Practice address
1400 PELHAM PKWY S, B #1 ROOM 4W6 JACOBI MEDICAL CENTER, BRONX, NY 10461-1138
(718) 918-6036
(718) 918-7701
Mailing address
8 WENDY RD, WAPPINGERS FALLS, NY 12590-2008
(845) 297-1804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232380
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F301174
NY
Other
Enumeration date
11/01/2006
Last updated
09/09/2010
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