Individual
RAKHILYA KHOLDAROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3757 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 779-7697
Mailing address
3757 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 779-7697
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015962
NY
Other
Enumeration date
09/25/2012
Last updated
10/15/2012
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