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Organization

NAIRA AMBARIAN MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAIRA AMBARIAN DO (MEDICAL DIRECTOR)
(917) 676-3932
Entity
Organization

Contact information

Practice address
107 NORTHERN BLVD, GREAT NECK, NY 11021-4311
(917) 676-3932
Mailing address
107 NORTHERN BLVD, GREAT NECK, NY 11021-4311
(929) 318-9281
(347) 556-4558

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
257030
LISCENCE
NY
Enumeration date
01/23/2020
Last updated
03/18/2022
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