Lookup NPI Numbers from the NPI Registry
NPI Profile for NICKIE DOUROUDAKIS in GREENVALE, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1265561435 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 03/05/2007 | |
| Last updated | 08/11/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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NICKIE DOUROUDAKIS, PA