Organization
FIFTH AVENUE OFFICE-BASED SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBRAHIM ELAHI MD (PRESIDENT)
(212) 570-0707
Entity
Organization
Contact information
Practice address
1034 FIFTH AVENUE, NEW YORK, NY 10028-0157
(212) 570-0707
(212) 570-0555
Mailing address
1034 FIFTH AVENUE, NEW YORK, NY 10028-0157
(212) 570-0707
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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