Individual
AVIVA SKAIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
7916 149TH ST APT 3G, FLUSHING, NY 11367-3863
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
896682
NY
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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