Provider Demographics
NPI:1942409602
Name:AYALA, CATALINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CATALINA
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-1311
Mailing Address - Country:US
Mailing Address - Phone:914-835-8572
Mailing Address - Fax:914-835-2513
Practice Address - Street 1:10 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1311
Practice Address - Country:US
Practice Address - Phone:914-835-8572
Practice Address - Fax:914-835-2513
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31377343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01959526Medicaid0602