Individual
ERIDANIA MINAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 47TH AVE, LONG ISLAND CITY, NY 11101-3433
(718) 391-8300
Mailing address
3030 47TH AVE, LONG ISLAND CITY, NY 11101-3433
(718) 391-8300
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
862768
NY
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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