Individual
AYESHA LANGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
684 E 79TH ST, BROOKLYN, NY 11236-3310
(347) 386-1455
Mailing address
684 E 79TH ST, BROOKLYN, NY 11236-3310
(347) 386-1455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287296
NY
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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