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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 742052 (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.