Provider Demographics
NPI:1306226501
Name:JAMGOCHIAN, MICHAEL ARAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ARAM
Last Name:JAMGOCHIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20 GRAND ST FL 3
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-987-3906
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:257 LAFAYETTE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4837
Practice Address - Country:US
Practice Address - Phone:845-369-8800
Practice Address - Fax:845-357-0086
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2024-04-11
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Provider Licenses
StateLicense IDTaxonomies
NY317705208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery