Individual provider · Type 1 NPI

Tahira Atiyah Wellman, M.S., PA-C

Medical Physician Assistant · Bronx, NY

NPI number 1306037114 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Mailing address

122 Queens Ave
Elmont, NY 11003-4339

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X011982 (NY)

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About NPI 1306037114

Tahira Atiyah Wellman, M.S., PA-C's National Provider Identifier is 1306037114, issued on Aug 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Aug 6, 2007.