Individual
GABRIELLA PAMELA KOYENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69-24 181ST STREET, FRESH MEADOWS, NY 11365
(347) 677-2688
Mailing address
6924 181ST ST, FRESH MEADOWS, NY 11365-3532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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