Provider Demographics
NPI:1720780828
Name:AYIH, AYELE GINETTE (LPN)
Entity Type:Individual
Prefix:
First Name:AYELE
Middle Name:GINETTE
Last Name:AYIH
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 WALTON AVE APT D15
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-2544
Mailing Address - Country:US
Mailing Address - Phone:917-442-6998
Mailing Address - Fax:
Practice Address - Street 1:7 W BURNSIDE AVE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4003
Practice Address - Country:US
Practice Address - Phone:917-442-6998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency