Individual
DR. ALALEH AKHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W 57TH ST, SUITE 510, NEW YORK, NY 10019-3211
(212) 884-0444
Mailing address
200 W 57TH ST, SUITE 510, NEW YORK, NY 10019-3211
(212) 444-8204
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
274564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
TAXONOMY NUMBER
NY
Enumeration date
08/01/2011
Last updated
12/28/2016
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