Individual
MS. FANI T DOURAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
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
174H00000X
Health Educator
Primary
1937748
NY
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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