# GEORGE JOHN AYYAD PHYSICIAN PC

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

## Provider details

- **NPI number:** 1063682565
- **Authorized official:** DR. GEORGE J AYYAD M.D. (OWNER/OPERATOR)
- **Authorized official phone:** (718) 727-1644

## Contact information

- **Practice address:** 1800 CLOVE RD, STATEN ISLAND, NY 10304-1616
- **Practice address phone:** (718) 727-1644
- **Practice address fax:** (718) 727-7365
- **Mailing address:** 1800 CLOVE RD, STATEN ISLAND, NY 10304-1616
- **Mailing address phone:** (718) 727-1644
- **Mailing address fax:** (718) 727-7365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 174696 | NY | Yes |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 06/03/2019