# PARK EAST NP IN PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477321305
- **Authorized official:** ILANA KHONONOV NP (OWNER)
- **Authorized official phone:** (347) 415-0774

## Contact information

- **Practice address:** 1735 YORK AVE APT 29E, NEW YORK, NY 10128-6861
- **Practice address phone:** (347) 415-0774
- **Mailing address:** 1735 YORK AVE APT 29E, NEW YORK, NY 10128-6861
- **Mailing address phone:** (347) 415-0774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 12/20/2023