Individual
FRIDA KHAIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
315 E SHORE RD, MANHASSET, NY 11030-2923
(516) 487-5577
(516) 487-2947
Mailing address
315 E SHORE RD, MANHASSET, NY 11030-2923
(516) 487-5577
(516) 487-2947
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309701-01
NY
Other
Enumeration date
07/20/2021
Last updated
01/05/2024
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