Provider Demographics
NPI:1922445972
Name:TAL, ADIT LIOR (MD)
Entity Type:Individual
Prefix:DR
First Name:ADIT
Middle Name:LIOR
Last Name:TAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21870 HARTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3533
Mailing Address - Country:US
Mailing Address - Phone:917-957-5478
Mailing Address - Fax:
Practice Address - Street 1:21870 HARTLAND AVE
Practice Address - Street 2:
Practice Address - City:HOLLIS HILLS
Practice Address - State:NY
Practice Address - Zip Code:11364-3533
Practice Address - Country:US
Practice Address - Phone:917-957-5478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program