Individual
REBECCA MADELINE KHAIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
121 DEKALB AVENUE, BROOKLYN, NY 11201-1120
(718) 250-8741
Mailing address
1512 AVENUE S FL 2, BROOKLYN, NY 11229-2909
(646) 402-1516
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
064395
NY
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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