Individual
DR. KSENIIA ANANIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11653 QUEENS BLVD, FOREST HILLS, NY 11375-6533
(718) 268-2020
Mailing address
4610 CENTER BLVD APT 605, LONG ISLAND CITY, NY 11109-5845
(347) 302-6847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T009503
NY
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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