Individual
ANGELA R AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 N TYSON AVE, FLORAL PARK, NY 11001-1403
(718) 276-7935
Mailing address
7 JOYCE AVE, MASSAPEQUA, NY 11758-3727
(917) 566-5086
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307509
NY
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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