Organization
ADVANCED CLINICAL PHYSICIANS, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARUZHAN DOVLATYAN (CEO)
(718) 268-8383
Entity
Organization
Contact information
Practice address
11203 QUEENS BLVD STE 200, FOREST HILLS, NY 11375-5550
(718) 268-8383
(718) 268-6033
Mailing address
11203 QUEENS BLVD STE 200, FOREST HILLS, NY 11375-5550
(718) 268-8383
(718) 268-6033
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AAAASF # 3728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT# 3728
AAAASF, INC.
NY
Enumeration date
04/26/2010
Last updated
04/26/2010
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