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Individual

DR. FAYAVAR ALIREZA AJVADI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GUSTAVE L LEVY PL, BOX 1010, NEW YORK, NY 10029-6500
(212) 241-4436
Mailing address
1 GUSTAVE L LEVY PL, BOX 1010, NEW YORK, NY 10029-6500
(212) 241-4436

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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