Healthcare Provider Details

I. General information

NPI: 1366230831
Provider Name (Legal Business Name): AYA TARAF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2025
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FIELDSTON RD APT 2K
BRONX NY
10463-2007
US

IV. Provider business mailing address

324 27TH AVE APT 8L
ASTORIA NY
11102-4873
US

V. Phone/Fax

Practice location:
  • Phone: 646-204-2295
  • Fax:
Mailing address:
  • Phone: 929-328-5383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: