Organization
RENA KHANUKAYEVA D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENA KHANUKAYEVA D.O. (PRESIDENT)
(718) 980-3232
Entity
Organization
Contact information
Practice address
2691 HYLAN BLVD, SUITE # 5, STATEN ISLAND, NY 10306-4300
(718) 980-3232
Mailing address
2691 HYLAN BLVD, SUITE # 5, STATEN ISLAND, NY 10306-3231
(718) 980-3232
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
212257
NY
Other
Enumeration date
05/29/2007
Last updated
07/13/2009
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