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Individual

ALEX KHAIMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8542 116TH ST, RICHMOND HILL, NY 11418-1711
(917) 945-8732
Mailing address
8542 116TH ST, RICHMOND HILL, NY 11418-1711

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353034
NY

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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