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Organization
YURIY KHANIN MD, P.C.
Active
Organization
YURIY KHANIN MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YURIY KHANIN M.D. (ATTENDING PHYSICIAN)
(718) 523-5776
Entity
Organization
Contact information
Practice address
10753 GUY R BREWER BLVD, JAMAICA, NY 11433-2351
(718) 523-5776
(718) 526-1132
Mailing address
10753 GUY R BREWER BLVD, JAMAICA, NY 11433-2351
(718) 523-5776
(718) 526-1132
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02554736
—
NY
Enumeration date
01/18/2011
Last updated
01/18/2011
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