OrganizationActive
Advanced Clinical Physicians, P.L.L.C
NPI 1114244415 · Specialist · Forest Hills, NY
Provider details
- NPI number
- 1114244415
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Varuzhan Dovlatyan, Ceo(718) 268-8383
- License
- AAAASF # 3728 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
11203 Queens Blvd Ste 200
Forest Hills, NY 11375-5550
Phone: (718) 268-8383
Fax: (718) 268-6033
Approximate (ZIP-level) locationGet directions
Mailing address
11203 Queens Blvd Ste 200
Forest Hills, NY 11375-5550
Registry dates
- Enumerated
- 2010-04-26
- Last updated
- 2010-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.