Individual provider · Type 1 NPI

Tahisha Evit Ayala

Specialist · South Ozone Park, NY

NPI number 1255878476 Active

Practice location

11507 Linden Blvd, 2nd Floor
South Ozone Park, NY 11420-1908

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X742052 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255878476

Tahisha Evit Ayala's National Provider Identifier is 1255878476, issued on Jan 25, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Ozone Park, NY. The record was last updated on Jan 25, 2017.