Provider Demographics
NPI:1992998751
Name:AYALA, ZAIDA J (RD, CDN)
Entity type:Individual
Prefix:MS
First Name:ZAIDA
Middle Name:J
Last Name:AYALA
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CUMMING ST
Mailing Address - Street 2:APT 4-K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-4809
Mailing Address - Country:US
Mailing Address - Phone:212-544-0548
Mailing Address - Fax:516-717-9303
Practice Address - Street 1:25 CUMMING ST
Practice Address - Street 2:APT 4-K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-4809
Practice Address - Country:US
Practice Address - Phone:718-526-1000
Practice Address - Fax:516-717-9303
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003009133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered