Individual
MARINA DOULOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GREENWAY TER, FOREST HILLS, NY 11375-5254
(718) 261-3232
Mailing address
10 GREENWAY TER, ABC PSYCHIATRIC SERVICES, FOREST HILLS, NY 11375-5254
(718) 261-3232
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
256330
NY
2084P0804X
Child & Adolescent Psychiatry Physician
256330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256330
NONE
NY
Enumeration date
02/02/2007
Last updated
08/05/2010
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