Individual
YURIY KHAIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T
Contact information
Practice address
7530 190TH ST, FRESH MEADOWS, NY 11366-1856
(718) 468-4073
Mailing address
7530 190TH ST, FRESH MEADOWS, NY 11366-1856
(718) 468-4073
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
020991-1
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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