Individual
SORAYA VERONIQUE KERNIZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3070
Mailing address
17511 MAYFIELD RD, JAMAICA, NY 11432-2139
(917) 554-2224
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
256628
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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