=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174327415
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SELMA YENI YILDIRIM MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2025
-----------------------------------------------------
Last Update Date | 04/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1275 YORK AVENUE DEPARTMENT OF PATHOLOGY & LAB MEDICINE
-----------------------------------------------------
City | NEW YORK CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-639-5275
-----------------------------------------------------
Fax | 929-321-5015
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1275 YORK AVENUE DEPARTMENT OF PATHOLOGY & LAB MEDICINE
-----------------------------------------------------
City | NEW YORK CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-639-5275
-----------------------------------------------------
Fax | 929-321-5015
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------