Individual
AVIVA MASSIHESRAELIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
149 OAKLAND AVE, WEST HEMPSTEAD, NY 11552-2335
(516) 729-0743
Mailing address
149 OAKLAND AVE, WEST HEMPSTEAD, NY 11552-2335
(516) 729-0743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028227
NY
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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