Organization
PAUL KECHIJIAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KECHIJIAN MD (OWNER)
(516) 482-0650
Entity
Organization
Contact information
Practice address
935 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-5316
(516) 482-0650
(516) 487-0204
Mailing address
935 NORTHERN BLVD, SUITE 103, GREAT NECK, NY 11021-5316
(516) 482-0650
(516) 487-0204
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B12262
UPIN
NY
Enumeration date
11/02/2007
Last updated
02/15/2008
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