# A ELASSAR MEDICAL PRACTICE P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043714603
- **Authorized official:** DR. ALYAA ELASSAR MD (MD/PRESIDENT)
- **Authorized official phone:** (800) 853-7595

## Contact information

- **Practice address:** 693 5TH AVE FL 7, NEW YORK, NY 10022-3164
- **Practice address phone:** (800) 853-7595
- **Practice address fax:** (800) 780-6167
- **Mailing address:** 693 5TH AVE FL 7, NEW YORK, NY 10022-3164
- **Mailing address phone:** (800) 853-7595
- **Mailing address fax:** (800) 780-6167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 263089-1 | NY | Yes |

## Other

- **Enumeration date:** 03/20/2018
- **Last updated:** 03/20/2018