Individual
MRS. EUJENIA MOMCHILOVA DARAKCHIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 MONTAUK HWY, SUITE 3, WEST ISLIP, NY 11795-4939
(631) 669-1171
(631) 669-1912
Mailing address
1175 MONTAUK HWY, SUITE 3, WEST ISLIP, NY 11795-4939
(631) 669-1171
(631) 669-1912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010842
NY
363AM0700X
Medical Physician Assistant
010842
NY
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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