Healthcare Provider Details

I. General information

NPI: 1265814354
Provider Name (Legal Business Name): GINA AKOPYAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8211 37TH AVE
JACKSON HEIGHTS NY
11372-7001
US

IV. Provider business mailing address

8211 37TH AVE
JACKSON HEIGHTS NY
11372-7001
US

V. Phone/Fax

Practice location:
  • Phone: 718-567-5200
  • Fax: 718-744-9337
Mailing address:
  • Phone: 718-567-5200
  • Fax: 718-744-9337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number295291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: