Individual
ABO KHAIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70-35 150TH STREET, FLUSHING, NY 11367
(718) 263-8071
Mailing address
70-35 150TH STREET, FLUSHING, NY 11367
(718) 263-8071
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
618007-1
NY
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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