Individual
DR. ELEONORA KHAIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6509 99TH ST, REGO PARK, NY 11374-3570
(718) 606-0023
Mailing address
7126 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3540
(718) 314-6154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
261307
NY
Other
Enumeration date
07/17/2009
Last updated
01/05/2012
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