Individual
LOUISE DONIKYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2556 47TH ST, ASTORIA, NY 11103-1109
(201) 638-7673
Mailing address
2556 47TH ST, ASTORIA, NY 11103-1109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
219710
NY
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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