Individual
ALEXIS AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 W 91ST ST, NEW YORK, NY 10024-1304
(646) 964-4305
Mailing address
170 ROEBLING ST, BROOKLYN, NY 11211-4415
(585) 415-4203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003313
NY
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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