Individual
DANA RAKHAMIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F353813
NY
363LF0000X
Family Nurse Practitioner
Primary
F35813
NY
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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