-- MARYJO AIDALA --
Individual Provider (NPI-1)
Active
Specialist
Provider Information
- NPI Number
1992045470- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1658 CENTRAL AVE, ALBANY, NY, 122054029
- Phone
- (518) 428-4948
Specialties & Taxonomies
Specialist
Primary License: NY #22CA0238513