Individual
DARYA KHAZANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-3068
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
296066
NY
Other
Enumeration date
04/16/2015
Last updated
06/28/2021
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