Individual
CLEMENT DOOKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
362 MELBA ST, STATEN ISLAND, STATEN ISLAND, NY 10314-5339
(718) 761-1436
Mailing address
362 MELBA ST, STATEN ISLAND, STATEN ISLAND, NY 10314-5339
(718) 761-1436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
217275-1
NY
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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