Individual
MS. CARMEN M AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 PROSPECT PARK W APT 3C, BROOKLYN, NY 11215-5711
(646) 455-9269
Mailing address
210 PROSPECT PARK W APT 3C, BROOKLYN, NY 11215-5711
(646) 455-9269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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