Tahisha Evit Ayala
Specialist in South Ozone Park, NY. Individual provider (NPI-1).
NPI number1255878476
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1255878476
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tahisha Evit Ayala
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 25, 2017
- Last updated
- Jan 25, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 742052 | NY | Yes |
Other names
- Tahisha Evit Ayala-Dean (Other Name)
Practice location
11507 Linden Blvd2nd Floor
South Ozone Park, NY 11420-1908
Phone 347-706-8380
Mailing address
11507 Linden Blvd2nd Floor
South Ozone Park, NY 11420-1908
Phone 347-706-8380
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Specialist providers in South Ozone Park · All 489 providers in South Ozone Park
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