Individual
DR. JENNIFER SUSAN KHACHADURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
306 HEMPSTEAD AVE, MALVERNE, NY 11565-1201
(516) 678-0076
(516) 763-0981
Mailing address
306 HEMPSTEAD AVE, MALVERNE, NY 11565-1201
(516) 678-0076
(516) 763-0981
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270010
NY
Other
Enumeration date
05/16/2013
Last updated
06/27/2014
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