Organization
FANI DOURAKIS THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FANI T DOURAKIS MSED (OWNER)
(917) 284-4268
Entity
Organization
Contact information
Practice address
14550 19TH AVE, WHITESTONE, NY 11357-3031
(917) 284-4268
Mailing address
14550 19TH AVE, WHITESTONE, NY 11357-3031
(917) 284-4268
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1937748
NY
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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