Individual
DR. JAMES GEORGE KOUZOUKIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6611 99TH ST, STE. 1E, REGO PARK, NY 11374-4360
(718) 997-8025
Mailing address
16901 UNDERHILL AVE, FRESH MEADOWS, NY 11365-1025
(718) 997-8025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038818
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01123591
—
NY
Enumeration date
02/08/2006
Last updated
07/08/2007
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