Individual
ANNET KHASELEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2493 RICHMOND RD, STATEN ISLAND, NY 10306-1956
(718) 227-5505
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034910
NY
Other
Enumeration date
07/23/2025
Last updated
12/23/2025
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