Individual
MS. KAI AYANA BALTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 WESTCHESTER AVE RM 102, BRONX, NY 10461-3512
(718) 597-5558
Mailing address
37 FEATHERBED LN APT 5D, BRONX, NY 10452-1641
(347) 269-8291
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
857321
NY
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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