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Individual

HANI GEORGE TAKLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5100
Mailing address
8829 155TH AVE, APT 6C, HOWARD BEACH, NY 11414-2139
(718) 323-9156

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
212826
NY

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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