Individual provider · Type 1 NPI
Ayli Tavakoly, PA-C
Physician Assistant · Great Neck, NY
Practice location
935 Northern Blvd Ste 105
Great Neck, NY 11021-5309
Mailing address
72 Forest Row
Great Neck, NY 11024-1939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 036532 (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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- Mary Ellen Cassidy, PAPhysician Assistant Great Neck, NY NPI 1114101615
- Jaclyn Taylor BrigandiPhysician Assistant Great Neck, NY NPI 1124742150
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About NPI 1538090196
Ayli Tavakoly, PA-C's National Provider Identifier is 1538090196, issued on May 25, 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 Oct 21, 2026.