Individual
AYALA ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1421 THIRD AVE., FIRST FLOOR, NEW YORK, NY 10028-1802
(212) 744-5538
(212) 744-4767
Mailing address
1421 3RD AVE, FIRST FLOOR, NEW YORK, NY 10028-1802
(212) 744-5538
(212) 744-4767
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
222572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222572
LICENSE (MD)
NY
Enumeration date
09/16/2006
Last updated
01/20/2017
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