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Ayala Vanderpool
Student in an Organized Health Care Education/Training Program in Ronkonkoma, New York
NPI 1548928682

Ayala Vanderpool is a Student in an Organized Health Care Education/Training Program based in Wantagh, NY. Ayala Vanderpool practices in Ronkonkoma, NY. The NPI Number for Ayala Vanderpool is 1548928682 and holds a License No. (New York).

The current practice location address for Ayala Vanderpool is 624 Hawkins Ave, Ronkonkoma, NY and can be reached out via phone at 631-240-3579.

Location: 624 Hawkins Ave, Ronkonkoma, NY, 11793-1804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548928682
Provider Name
Ayala Vanderpool
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Hawkins Ave, Ronkonkoma, NY, 11793-1804
Phone Number
631-240-3579
Fax Number
Provider Enumeration Date
12/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
624 Hawkins Ave
City
Ronkonkoma
State
New York
Zip
11779-2375
Phone Number
631-240-3579
Fax Number
person
Provider Business Mailing Address Details
Address
624 Hawkins Ave
City
Ronkonkoma
State
New York
Zip
11779-2375
Phone Number
631-240-3579
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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