Most Relevant Information
Provider Data
| NPI Number: | 1003479379 |
| Provider Name: | TANER A AYDIN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2019 |
| Last Updated: | 05/24/2023 |
Provider Practice Location
317 E 17TH ST FL HALL9
NEW YORK
NY
100033804
Practice Location Phone/Fax
| Phone: | 6312524421 |
| Fax: |
Provider Mailing Location
400 W MAIN ST STE 109
BABYLON
NY
117023009
Provider Mailing Phone/Fax
| Phone: | 6317073780 |
| Fax: | 6312032071 |