DR. THILAN MACKENZIE TUDOR MD
NPI 1922896265
Student in an Organized Health Care Education/Training Program in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 28, 2025

550 1ST AVE, NEW YORK, NY 10016(212) 263-5506 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Thilan Mackenzie Tudor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THILAN MACKENZIE TUDOR MD (NPI 1922896265) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1922896265

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. THILAN MACKENZIE TUDORCredential: MD

Location Address550 1ST AVENew York, NY 10016-6402

Mailing Address550 1st AveNew York, NY 10016-6402 · (212) 263-5506

Phone(212) 263-5506

Sole ProprietorNo

Enumeration DateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1922896265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 1ST AVE, New York, NY 10016

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