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Individual

ANZHELIKA KHAFIZOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1388
Mailing address
6260 99TH ST APT 316, REGO PARK, NY 11374-6026
(718) 830-3511

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23-11198
NY

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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