Individual
ELEANOR NOUVAHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
935 NORTHERN BLVD STE 105, GREAT NECK, NY 11021-5309
(516) 487-0070
Mailing address
7 PADDOCK CT, GLEN HEAD, NY 11545-2918
(516) 732-6881
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026008
NY
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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