Individual
AYMAN SAMIR YASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST, PH1 - 137, NEW YORK, NY 10032-3720
(212) 305-2995
Mailing address
622 WEST 168TH STREET, PH1 - 137, NEW YORK, NY 10032-0001
(507) 305-2995
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
252968
NY
207P00000X
Emergency Medicine Physician
48806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
906648000
—
MN
Enumeration date
08/04/2006
Last updated
07/01/2009
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