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Organization
FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC
Active
Organization
FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHIM ELAHI MD (OWNER)
(212) 570-0707
Entity
Organization
Contact information
Practice address
1034 5TH AVE, NEW YORK, NY 10028-0157
(212) 570-0707
Mailing address
1034 5TH AVE, NEW YORK, NY 10028-0157
(212) 570-0707
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
09/20/2019
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