# DR. ALLISON LOU YAVARI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487369047
- **Gender:** F
- **Credential:** DMSC, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 031590 | NY | Yes |
| 363AS0400X | Surgical Physician Assistant | 25MP00842100 | NJ | — |
| 363AS0400X | Surgical Physician Assistant | C0009306 | MD | — |
| 363AS0400X | Surgical Physician Assistant | PA9117092 | FL | — |

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 10/09/2024
