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Individual

ANA M GHELECHKHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2608
(516) 437-4167
Mailing address
210 OLD COUNTRY RD, MINEOLA, NY 11501-4218
(516) 279-4400
(516) 279-4471

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012181-1
NY

Other

Enumeration date
04/27/2009
Last updated
07/08/2015
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