Individual
AYELE AMEDEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 EAST BURNSIDE AVENUE, BRONX, NY 10457
(347) 575-6929
Mailing address
270 E BURNSIDE AVE, BRONX, NY 10457-3729
(347) 575-6929
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318829-1
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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