Individual
AYALA EIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(212) 582-9100
Mailing address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113759
NY
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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