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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