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Organization
PARK EAST NP IN PSYCHIATRY
Active
Organization
PARK EAST NP IN PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILANA KHONONOV NP (PSYCHIATRIC NURSE PRACTITIONER)
(347) 415-0774
Entity
Organization
Contact information
Practice address
308 E 79TH ST # 1DEF, NEW YORK, NY 10075-0998
(212) 941-2797
Mailing address
308 E 79TH ST # 1DEF, NEW YORK, NY 10075-0998
(212) 941-2797
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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