Provider Demographics
NPI:1285797217
Name:KIYICI, AYLIN (MD)
Entity type:Individual
Prefix:MRS
First Name:AYLIN
Middle Name:
Last Name:KIYICI
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 1:21 COLUMBUS CIR
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2426 EASTCHESTER RD STE 209
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5950
Practice Address - Country:US
Practice Address - Phone:914-552-2743
Practice Address - Fax:718-239-2494
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02047487Medicaid
NYH08194Medicare UPIN
NY02047487Medicaid