Individual
KONSTANTIN KHARITON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5645 MAIN ST # LL300, FLUSHING, NY 11355-5045
(718) 455-0220
Mailing address
15933 97TH ST, HOWARD BEACH, NY 11414-3506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
294927-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/20/2012
Last updated
12/07/2023
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