Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 241199 | NY |
NPI | 1003021114 |
---|---|
Provider Name | Dr. Rosalia Ayuso |
First Address | Flushing, NY 11355-5044 |
Second Address | Woodside, NY 11377-4444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 14/10/2011 |