MEDICARE: DR. AIDA TAYE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	278198	NY

General Provider Information

NPI Number	:	1326336744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AIDA TAYE M.D.

Provider Business Mailing Address
First Line	:	425 W 59TH STREET
Second Line	:	7TH FL, SUITE 7B
City	:	NEW YORK
State	:	NY
Zip	:	10019-6232
Country	:	US
Telephone Number	:	212-523-8845
Fax Number	:	212-523-6495

Provider Business Practice Location Address
First Line	:	425 W 59TH STREET
Second Line	:	7TH FL, SUITE 7B
City	:	NEW YORK
State	:	NY
Zip	:	10019-6232
Country	:	US
Telephone Number	:	212-523-8845
Fax Number	:	212-523-6495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	08/12/2016

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