Individual
ELVIRA KHAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 932-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
11/30/2021
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