Individual
EMMANUEL DOUYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 KINGS AVE, MASSAPEQUA, NY 11758-3203
(646) 750-6242
Mailing address
545 KINGS AVE, MASSAPEQUA, NY 11758-3203
(646) 750-6242
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
605648070
WA
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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