Individual
ANNA A KHARITONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
99 BRIGHTON 11 STREET, BROOKLYN, NY 11235
(718) 238-2285
(718) 332-7412
Mailing address
345 82 STREET, BROOKLYN, NY 11209
(718) 238-2285
(718) 332-7412
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
208942
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911522
—
NY
Enumeration date
12/22/2006
Last updated
07/08/2007
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