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Organization
TRIBOROUGH MEDICAL PLLC
Active
Organization
TRIBOROUGH MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KHAIMOV MD (AUTHORIZED OFFICIAL)
(718) 878-4656
Entity
Organization
Contact information
Practice address
77-36 169 STREET 1ST FLOOR, FRESH MEADOWS, NY 11366
(718) 878-4656
(718) 889-7444
Mailing address
200 BROADWAY, BROOKLYN, NY 11211
(718) 302-1800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
06/25/2023
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