Individual
DR. ARA BAGDASSARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6919 197TH ST, FRESH MEADOWS, NY 11365-4038
(718) 454-6020
Mailing address
6919 197TH ST, FRESH MEADOWS, NY 11365-4038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010550-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-103206
TAX ID
NY
Enumeration date
05/21/2007
Last updated
07/08/2007
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