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Individual
MR. ISKENDER KHIDAYATOV
Active
Individual
MR. ISKENDER KHIDAYATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
646521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386450
—
NY
Enumeration date
12/05/2012
Last updated
12/05/2012
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