Individual
DAVID AVAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 PARSONS BLVD, CDU, FLUSHING, NY 11355-2205
(718) 670-5696
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
225601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02396629
—
NY
Enumeration date
11/11/2006
Last updated
06/15/2015
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