Provider Demographics
NPI:1487956603
Name:YILMAZ, AYDIN (PT)
Entity type:Individual
Prefix:MR
First Name:AYDIN
Middle Name:
Last Name:YILMAZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 OCEAN PKWY
Mailing Address - Street 2:APT4K
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4655
Mailing Address - Country:US
Mailing Address - Phone:347-605-5741
Mailing Address - Fax:
Practice Address - Street 1:370 OCEAN PKWY
Practice Address - Street 2:APT4K
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4655
Practice Address - Country:US
Practice Address - Phone:347-605-5741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033272-12251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology