Healthcare Provider Details

I. General information

NPI: 1831017730
Provider Name (Legal Business Name): ANTONIO YLIA AYBAR ARIAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 MYRTLE AVE
BROOKLYN NY
11237-4512
US

IV. Provider business mailing address

1411 MYRTLE AVE
BROOKLYN NY
11237-4512
US

V. Phone/Fax

Practice location:
  • Phone: 718-907-4301
  • Fax:
Mailing address:
  • Phone: 718-907-4301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberP144175
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: