Individual
DR. JANARA SUSAN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
269-01 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3206
Mailing address
37 MAPLESEED DR, DALLAS, PA 18612-9760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
323145
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2020
Last updated
05/16/2023
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