Individual
ELISE KOCHOUMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8963
(516) 663-8964
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
299579
NY
Other
Enumeration date
04/03/2016
Last updated
11/06/2020
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