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SIRANUSH K CHOLAKIAN PHYSICIAN PC NPI 1083853964


NPI Information

NPI: 1083853964
Provider Name: SIRANUSH K CHOLAKIAN PHYSICIAN PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
64 06 FITCHETT STREET
REGO PARK, NY
ZIP 11374
Phone: (718) 275-1375
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SIRANUSH K CHOLAKIAN PHYSICIAN PC is a family medicine in Rego Park, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SIRANUSH K CHOLAKIAN PHYSICIAN PC NPI is 1083853964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

64 06 FITCHETT STREET
REGO PARK, NY
ZIP 11374-049
Phone: (718) 275-1375

The provider's authorized official is Siranush K Cholakian .
The authorized official title is President and has the following contact phone number (718) 275-1375.

The enumeration date for this NPI number is 2/17/2009 and was last updated on 2/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine200984NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101900MEDICARE PINNEW YORK
201613914MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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