Individual
ANDREA KOHANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14738 71ST RD, 2ND FLOOR, FLUSHING, NY 11367-2011
(718) 810-4004
Mailing address
14738 71ST RD, 2ND FLOOR, FLUSHING, NY 11367-2011
(718) 810-4004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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