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Individual

DR. GLADYS MARIA AYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
40 SUNSHINE COTTAGE RD, NEW YORK MEDICAL COLLEGE ADMIN BLDING STUDENT AFFAIRS, VALHALLA, NY 10595-1524
(914) 594-4498
Mailing address
1219 HANCOCK ST, BROOKLYN, NY 11221-5213
(718) 919-4072

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
173694
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01132223
NY
Enumeration date
12/13/2006
Last updated
07/08/2007
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