Individual
ALI ABOU YASSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
726 OLYMPIA BLVD, STATEN ISLAND, NY 10305-3318
(646) 353-4240
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD2016-0556
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2011
Last updated
06/07/2019
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