Individual
IRIS AYALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6442 WOODBINE STREET, RIDGEWOOD, NY 11385
(917) 889-5112
Mailing address
6442 WOODBINE STREET, RIDGEWOOD, NY 11385
(917) 889-5112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008378
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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