Individual
INNA KHVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3090 RICHMOND RD, STATEN ISLAND, NY 10306-1937
(718) 351-1949
(718) 351-2569
Mailing address
3090 RICHMOND RD, STATEN ISLAND, NY 10306-1971
(718) 351-1949
(718) 351-2569
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02129555
—
NY
Enumeration date
07/06/2006
Last updated
10/13/2023
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