Individual
DR. HAGOP GORGISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11929 80TH RD, KEW GARDENS, NY 11415-1105
(917) 733-3283
Mailing address
6519 247TH ST, MANAGED CARE, D1-01, LITTLE NECK, NY 11362-2326
(917) 733-3283
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
238973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/20/2006
Last updated
12/07/2016
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