Individual
MS. ELIZABETH KHAIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13671 72ND AVE, FLUSHING, NY 11367-2327
(917) 285-0040
Mailing address
13671 72ND AVE, FLUSHING, NY 11367-2327
(917) 285-0040
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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