Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayelet Dissen, PA

Individual provider Physician Assistant · NPI 1326535162

Ayelet Dissen, PA is a Physician Assistant in New York, New York. Licensed in Connecticut and New York. Registered with an NPI since 2018.

Licensed in
CT, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

622 W 168th St Ste VC260
New York, NY 10032-3720
Phone: (212) 305-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031099 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 4060 (CT)

Record details

NPI number1326535162
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

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