Individual
DR. ALLISON LOU YAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
113 E 39TH ST, NEW YORK, NY 10016-0968
(212) 223-0716
Mailing address
113 E 39TH ST, NEW YORK, NY 10016-0968
(919) 928-4172
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
031590
NY
363AS0400X
Surgical Physician Assistant
25MP00842100
NJ
363AS0400X
Surgical Physician Assistant
C0009306
MD
363AS0400X
Surgical Physician Assistant
PA9117092
FL
Other
Enumeration date
01/18/2023
Last updated
10/09/2024
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