Individual
CHERYL DOUSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 DIANAS TRL, ROSLYN, NY 11576-1825
(516) 603-3277
Mailing address
65 DIANAS TRL, ROSLYN, NY 11576-1825
(516) 603-3277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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