Organization
DK PAIN MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KHAIMOV MD (PRESIDENT)
(718) 878-4656
Entity
Organization
Contact information
Practice address
77-36 169 STREET 1ST FLOOR, FRESH MEADOWS, NY 11366-1420
(718) 878-4656
(718) 889-7444
Mailing address
200 BROADWAY, BROOKLYN, NY 11211
(718) 302-1800
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
244768
NY
Other
Enumeration date
03/07/2014
Last updated
06/25/2023
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