Individual
AYELET MOTTAHEDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
623 STEWART AVE STE 106, GARDEN CITY, NY 11530-4771
(516) 650-3355
(866) 706-0812
Mailing address
623 STEWART AVE STE 106, GARDEN CITY, NY 11530-4771
(516) 650-3355
(866) 706-0812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015376
NY
Other
Enumeration date
03/28/2012
Last updated
02/24/2025
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