Individual
SONJA MARIE GEOURZOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90-37 PARSONS BLVD, JAMAICA, NY 11432
(718) 262-5533
Mailing address
133 W. GREENWICH AVE., ROOSEVELT, NY 11575
(516) 378-7216
(516) 378-7216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
171160
NY
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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