FANOULA LLC NPI 1578126033

NPI Information

FANOULA LLC is a specialist in Whitestone, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FANOULA LLC NPI is 1578126033. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14550 19TH AVE
WHITESTONE, NY
ZIP 11357-031
Phone: (917) 284-4268

The provider's authorized official is Fani Dourakis .
The authorized official title is Owner and has the following contact phone number (917) 284-4268.

The enumeration date for this NPI number is 4/19/2019 and was last updated on 5/15/2019.

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:

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