Provider Demographics
NPI:1366693897
Name:NOY, ADA G (MT(ASCP))
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:G
Last Name:NOY
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142291
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-2291
Mailing Address - Country:US
Mailing Address - Phone:787-878-5077
Mailing Address - Fax:787-817-3801
Practice Address - Street 1:65 AVE BARBOSA
Practice Address - Street 2:SUITE 208
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-2799
Practice Address - Country:US
Practice Address - Phone:787-878-5077
Practice Address - Fax:787-817-3801
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRMT1308246ZA2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRMT1308OtherSTATE LIC