Individual
AYALA MILLER WEGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1559 YORK AVE, NEW YORK, NY 10028-6001
(212) 585-3329
Mailing address
1559 YORK AVE, NEW YORK, NY 10028-6001
(631) 252-1841
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
270367
NY
Other
Enumeration date
06/15/2011
Last updated
12/16/2014
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