Individual
MISS JENNY SOLEDAD AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
466 OLD HOOK RD STE 1, EMERSON, NJ 07630-1368
(201) 967-8221
Mailing address
466 OLD HOOK RD STE 1, EMERSON, NJ 07630-1368
(201) 967-8221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10469500
NJ
207R00000X
Internal Medicine Physician
267259
NY
208M00000X
Hospitalist Physician
267259
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2012
Last updated
04/10/2019
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