| Siranush K Cholakian Physician Pc | |
|
64 06 Fitchett Street Rego Park NY 11374-5049 | |
| (718) 275-1375 | |
| Not Available |
| Full Name | Siranush K Cholakian Physician Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 64 06 Fitchett Street, Rego Park, New York |
| Authorized Official Name and Position | Siranush K Cholakian (PRESIDENT) |
| Authorized Official Contact | 7182751375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siranush K Cholakian Physician Pc 64 06 Fitchett Street Rego Park NY 11374-5049 Ph: (718) 275-1375 | Siranush K Cholakian Physician Pc 64 06 Fitchett Street Rego Park NY 11374-5049 Ph: (718) 275-1375 |
| NPI Number | 1083853964 |
|---|---|
| Provider Enumeration Date | 02/17/2009 |
| Last Update Date | 02/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083853964 | NPI | - | NPPES |
| 01613914 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200984 (New York) | Primary |
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