Individual
MISS AYESIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13517 HOOK CREEK BLVD, ROSEDALE, NY 11422-1634
(201) 895-8323
Mailing address
13517 HOOK CREEK BLVD, ROSEDALE, NY 11422-1634
(201) 895-8323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
719993
NY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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