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Gayane Jamgotchian, PA-C

Physician Assistant in Forest Hills, NY. Individual provider (NPI-1).

NPI number1407415482
StatusActive
Last updated in NPPESJun 12, 2019

Details

NPI
1407415482
Entity type
Individual (NPI-1)
Name
Gayane Jamgotchian
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2019
Last updated
Jun 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
363AS0400X Physician Assistant, Surgical––

Practice location

10201 66th Rd
Forest Hills, NY 11375-2029

Phone 718-830-4000

Mailing address

6 Lahey St
New Hyde Park, NY 11040-1717

Phone 917-692-8384

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