Individual
ALLA R. JOUTOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 STATION PLZ N, SUITE 606, MINEOLA, NY 11501-3808
(516) 663-2468
(516) 663-8824
Mailing address
222 STATION PLZ N, SUITE 606, MINEOLA, NY 11501-3808
(516) 663-2468
(516) 663-8824
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
229396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02677576
—
NY
Enumeration date
04/04/2006
Last updated
07/08/2007
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