Individual
MRS. KEZIAH NARAYANAJAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-PAC
Contact information
Practice address
56-45 MAIN ST, FLUSHING, NY 11355-5095
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010282
NY
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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