Individual
AYLA PELLEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
(212) 426-5054
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
289173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05842324
—
NY
Enumeration date
07/09/2014
Last updated
02/12/2020
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