Organization
OMRI AYALON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL VILLAR (CHIEF OPERATING OFFICER)
(212) 289-0700
Entity
Organization
Contact information
Practice address
57 W 57TH ST FL 15, NEW YORK, NY 10019-2832
(121) 228-9070
Mailing address
57 W 57TH ST FL 15, NEW YORK, NY 10019-2832
(121) 228-9070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270242
LICENSE NUMBER
NY
Enumeration date
10/31/2018
Last updated
10/31/2018
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