Individual
GABRIEL KOYENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
14439 76TH AVE, FLUSHING, NY 11367-3115
(646) 662-0617
Mailing address
14439 76TH AVE, FLUSHING, NY 11367-3115
(646) 662-0617
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002225
NY
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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