Provider Demographics
NPI:1225721533
Name:YILDIRIM, Q AYLA
Entity Type:Individual
Prefix:
First Name:Q
Middle Name:AYLA
Last Name:YILDIRIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 W 120TH ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6043
Mailing Address - Country:US
Mailing Address - Phone:585-766-4339
Mailing Address - Fax:
Practice Address - Street 1:417 W 120TH ST APT 6D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6043
Practice Address - Country:US
Practice Address - Phone:585-766-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health