Individual
KSENIYA KHMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF ANESTHESIOLOGY, STONY BROOK UNIVERSITY HOSPITAL HSC 4, STONY BROOK, NY 11794-8480
(631) 444-2975
Mailing address
15 PERONA LN, STATEN ISLAND, NY 10308-3323
(646) 239-2075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
64068
CT
207L00000X
Anesthesiology Physician
Primary
ME157032
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2014
Last updated
01/08/2025
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