Organization
STELLA DOUROS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA CHAN (MEDICAL BILLER)
(718) 238-2336
Entity
Organization
Contact information
Practice address
7501 6TH AVE, BROOKLYN, NY 11209-3315
(718) 238-2336
Mailing address
7501 6TH AVE, BROOKLYN, NY 11209-3315
(718) 238-2336
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01712418
—
NY
Enumeration date
04/27/2011
Last updated
04/27/2011
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