Most Relevant Information
Provider Data
| NPI Number: | 1003050782 |
| Provider Name: | ANA M GHELECHKHANI PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 012181-1 |
Most Important Dates
| Enumeration Date: | 04/27/2009 |
| Last Updated: | 07/08/2015 |
Provider Practice Location
5645 MAIN ST
FLUSHING
NY
113555045
Practice Location Phone/Fax
| Phone: | 7186702608 |
| Fax: | 5164374167 |
Provider Mailing Location
210 OLD COUNTRY RD
MINEOLA
NY
115014218
Provider Mailing Phone/Fax
| Phone: | 5162794400 |
| Fax: | 5162794471 |