Organization
FIFTH AVENUE OCULOFACIAL AESTHETIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBRAHIM ELAHI MD (OWNER)
(212) 570-0707
Entity
Organization
Contact information
Practice address
1034 5TH AVE, NEW YORK, NY 10028-0157
(212) 570-0707
Mailing address
1034 5TH AVE, NEW YORK, NY 10028-0157
(212) 570-0707
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/08/2006
Last updated
09/20/2019
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