Provider Demographics
NPI:1669606208
Name:ELASSAR, ALYAA (MD)
Entity type:Individual
Prefix:
First Name:ALYAA
Middle Name:
Last Name:ELASSAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:693 5TH AVE
Mailing Address - Street 2:7TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:800-853-7595
Mailing Address - Fax:800-780-6167
Practice Address - Street 1:693 5TH AVE
Practice Address - Street 2:7TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:800-853-7595
Practice Address - Fax:800-780-6167
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY263089207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology