Individual
BERNADETTE AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7103 SUTTON PL APT 3F, FRESH MEADOWS, NY 11365-4535
(516) 451-6891
Mailing address
7103 SUTTON PL APT 3F, FRESH MEADOWS, NY 11365-4535
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
735979
NY
163WX0200X
Oncology Registered Nurse
735979
NY
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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