Provider Demographics
NPI:1346309853
Name:ASSADI, CYRUS A (MD)
Entity Type:Individual
Prefix:
First Name:CYRUS
Middle Name:A
Last Name:ASSADI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 1M CYRUS A ASSADI MD PC
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-315-5588
Mailing Address - Fax:212-307-0734
Practice Address - Street 1:25 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 1M CYRUS A ASSADI MD PC
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-315-5588
Practice Address - Fax:212-307-0734
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1398232086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
24A791Medicare ID - Type Unspecified
C07076Medicare UPIN