Individual
DR. MOISEY KHANIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95-25 QUEENS BLVD, 5TH FLR, REGO PARK, NY 11374-1995
(718) 460-2300
Mailing address
6838 YELLOWSTONE BLVD APT A40, FOREST HILLS, NY 11375-3420
(646) 520-5230
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
303661-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
05/21/2024
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