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Paul Kechijian, MD, PC

Dermatology in Great Neck, NY. Organization (NPI-2).

NPI number1902085269
StatusActive
Last updated in NPPESFeb 15, 2008

Details

NPI
1902085269
Entity type
Organization (NPI-2)
Legal business name
Paul Kechijian, MD, PC
Organization subpart
No
Enumeration date
Nov 2, 2007
Last updated
Feb 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

935 Northern Blvd
Suite 103
Great Neck, NY 11021-5316

Phone 516-482-0650 · Fax 516-487-0204

Mailing address

935 Northern Blvd
Suite 103
Great Neck, NY 11021-5316

Phone 516-482-0650 · Fax 516-487-0204

Authorized official

Paul Kechijian
Owner
5164820650

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