| Doctor Name: | DR. MARIA A DOURMAS |
| NPI Number: | 1376663708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS, MD |
| License Number: | 214982-1 |
| Business Practice Address: | 7015 164th St Flushing, NY - 113654218 |
| Business Phone Number: | 7182637400 |
| Business Fax Number: | 7189693386 |
| Mailing Address: | 7015 164th St, FLUSHING |
| State: | NY |
| Postal Code: | 113654218 |
| Phone Number: | 7182637400 |
| Fax Number: | 7189693386 |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 214982-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |