Individual
MS. DINA KHAIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6541 BOOTH ST APT 4D, REGO PARK, NY 11374-4126
(718) 459-8730
Mailing address
6541 BOOTH ST APT 4D, REGO PARK, NY 11374-4126
(718) 459-8730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341202-1
NY
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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