Provider Demographics
NPI:1750731402
Name:PEREIRA-EDWARDS, AIONGA SONYA (R)
Entity type:Individual
Prefix:
First Name:AIONGA
Middle Name:SONYA
Last Name:PEREIRA-EDWARDS
Suffix:
Gender:F
Credentials:R
Other - Prefix:
Other - First Name:AIONGA
Other - Middle Name:SONYA
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:2 CHESTER CT
Mailing Address - Street 2:3F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-4927
Mailing Address - Country:US
Mailing Address - Phone:718-809-6271
Mailing Address - Fax:
Practice Address - Street 1:2 CHESTER CT
Practice Address - Street 2:3F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-4927
Practice Address - Country:US
Practice Address - Phone:718-809-6271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660599-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse