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Contact Information

AYELET MOTTAHEDEH, PA
623 STEWART AVE STE 106
GARDEN CITY, NY11530-4771
 Phone: 516-650-3355
 Fax: 866-706-0812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AYELET MOTTAHEDEH · (Female)

NPI # 1154697753
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/28/2012
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 015376
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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