Provider Demographics
NPI:1790554889
Name:ELAYAN, IYAD
Entity Type:Individual
Prefix:
First Name:IYAD
Middle Name:
Last Name:ELAYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 SOLDIER HILL RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1343
Mailing Address - Country:US
Mailing Address - Phone:207-870-9419
Mailing Address - Fax:
Practice Address - Street 1:959 SOLDIER HILL RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1343
Practice Address - Country:US
Practice Address - Phone:207-870-9419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport