Individual
VIKTORIYA KHOMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
520 BLOOMINGDALE RD, STATEN ISLAND, NY 10309-2061
(718) 605-1300
Mailing address
8 BUR CT, MANALAPAN, NJ 07726-1878
(732) 677-2260
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
035718
NY
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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