Individual provider · Type 1 NPI

Taliah Ilyadi

Physician Assistant · Great Neck, NY

NPI number 1356277339 Active

Practice location

100 Cuttermill Rd Apt 4K
Great Neck, NY 11021-3116

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035369-01 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356277339

Taliah Ilyadi's National Provider Identifier is 1356277339, issued on Jun 18, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Great Neck, NY. The record was last updated on Jun 18, 2026.