Individual
MARIA KHANUKAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
506 SIXTH STREET, BROOKLYN, NY 11215-9008
(718) 780-5942
Mailing address
506 SIXTH STREET, BROOKLYN, NY 11215-9008
(718) 780-5942
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011364
NY
Other
Enumeration date
11/02/2006
Last updated
04/18/2023
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