Individual
AYAM DE LEON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
637 CARDINAL RD, CORTLANDT MANOR, NY 10567-5201
(347) 981-2230
Mailing address
637 CARDINAL RD, CORTLANDT MANOR, NY 10567-5201
(347) 981-2230
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314760
NY
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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