Nickie Douroudakis in Oakland Gardens - Medical

Nickie Douroudakis - NPI 1265561435

Nickie Douroudakis is a Medical in Oakland Gardens, New York. Nickie Douroudakis practices all healthcare services and medical treatments related to Medical. The NPI Number for Nickie Douroudakis is 1265561435. The last update date is 2022-08-11.

Nickie Douroudakis's current location address is 22112 59th Ave, Oakland Gardens, New York. You can contact this provider via phone number 9174538024. The mailing address for Nickie Douroudakis is 22112 59th Ave, Oakland Gardens, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Nickie Douroudakis
Address 22112 59th Ave, Oakland Gardens, New York
Phone Number 9174538024
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1265561435
Provider Enumeration Date 2007-03-05
Last Updated Date 2022-08-11

Provider Mailing Address Detail

Address 22112 59th Ave
City Oakland Gardens
State New York (NY)
Post Code 113641930
Phone Number 9174538024
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 8029
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Nickie Douroudakis

What is the unique identifier code issued to Nickie Douroudakis by the Centers for Medicare & Medicaid Services?

The Nickie Douroudakis has been assigned the NPI (National Provider Identifier) 1265561435. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Nickie Douroudakis is physically located?

The Nickie Douroudakis is physically situated at the following address: 22112 59Th Ave, Oakland Gardens, NY, 113641930.

What is the Nickie Douroudakis's specialty and taxonomy code?

The Nickie Douroudakis's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Nickie Douroudakis receive its 1265561435 assignment from the Centers for Medicare & Medicaid Services?

The Nickie Douroudakis was assigned its 1265561435 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date was the information pertaining to Nickie Douroudakis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nickie Douroudakis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-08-11.

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