Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taliah Ilyadi

Individual provider Physician Assistant · NPI 1356277339

Taliah Ilyadi is a Physician Assistant in Great Neck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

100 Cuttermill Rd Apt 4K
Great Neck, NY 11021-3116
Phone: (917) 676-0402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 035369-01 (NY)

Record details

NPI number1356277339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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