Provider Demographics
NPI:1427506377
Name:AYR, VALERIE (MED)
Entity type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:
Last Name:AYR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4750 BEDFORD AVE
Mailing Address - Street 2:SUITE #7K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2651
Mailing Address - Country:US
Mailing Address - Phone:917-862-7248
Mailing Address - Fax:
Practice Address - Street 1:4750 BEDFORD AVE
Practice Address - Street 2:SUITE #7K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2651
Practice Address - Country:US
Practice Address - Phone:917-862-7248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2611123174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist