Fanoula LLC
NPI #1578126033 in Whitestone, New York
Provider Information
- NPI Number
- 1578126033
- Entity Type
- Organization
- Organization Name
- Fanoula LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 19, 2019
- Last Updated
- May 15, 2019
Practice Location
- Address
- 14550 19TH AVE
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-3031
- Phone
- (917) 284-4268
Authorized Official
- Name
- MS. FANI DOURAKIS, MSED
- Title
- OWNER
- Phone
- (917) 284-4268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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