Jessy Ayala P.A.

NPI 1316034804 - Physician Assistant - 363A00000X

NPI Details
NPI 1316034804
Gender Male
Enumeration Date 10/06/2006
Last Updated 01/20/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
291 E 149TH ST
BRONX NY, 10451-5601, US
Phone (718) 742-1000
Fax (718) 765-3210
Business Location
200 CENTRAL PARK S
SUITE 107
NEW YORK NY, 10019-1436, US
Phone (212) 262-2500
Fax (212) 765-3210
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 009814
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According to our database, Mr. Jessy Ayala P.A. NPI is 1316034804, taxonomy code is 363A00000X and license number is 009814, license state is located at New York. Jessy Ayala P.A. physically located at 291 E 149th St, Bronx NY, 10451-5601. NPI Number Jessy Ayala P.A. has the Individual type.

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1316034804 NPI number is provided on an as is basis without warranty of any kind. 1316034804 is maintained by the National Plan & Provider Enumeration System. The contents of Jessy Ayala P.A. are for informational purposes only.