Individual
MISS DAHIANA BAKALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 608-5610
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(917) 767-5964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019030
NY
Other
Enumeration date
07/08/2015
Last updated
03/17/2018
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