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1265561435
NICKIE DOUROUDAKIS
GREENVALE, NY
NPI
1265561435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 008029)
Enumeration Date
2007-03-05
Last Update Date
2022-08-11
Business Address
NICKIE DOUROUDAKIS PA
2200 NORTHERN BLVD STE 121
GREENVALE, NY 11548-1220
Phone number: 516-705-1044
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Mailing Address
NICKIE DOUROUDAKIS PA
22112 59TH AVE
OAKLAND GARDENS, NY 11364-1930
Phone number: 917-453-8024
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