1255625059 NPI number — DR. AYA YVONNE MICHAELS M.D.

Table of content: DR. AYA YVONNE MICHAELS M.D. (NPI 1255625059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255625059 NPI number — DR. AYA YVONNE MICHAELS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MICHAELS
Provider First Name:
AYA
Provider Middle Name:
YVONNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255625059
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
575 LEXINGTON AVENUE, SUITE 540
Provider Second Line Business Mailing Address:
NEWYORK-PRESBYTERIAN/WEILL CORNELL MEDICINE
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10022-6102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-746-6000
Provider Business Mailing Address Fax Number:
646-962-0122

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 E. 68TH STREET
Provider Second Line Business Practice Location Address:
NEW YORK-PRESBYTERIAN/WEILL CORNELL MEDICINE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10065-4885
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-746-6000
Provider Business Practice Location Address Fax Number:
646-962-0122
Provider Enumeration Date:
06/09/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X , with the licence number:  247712 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 287802 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com