Individual
ALYSSA AYDINOGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MAPLE AVE, FARMINGDALE, NY 11735-4619
(516) 670-6030
Mailing address
29 MAPLE AVE, FARMINGDALE, NY 11735-4619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1440153201
NY
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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