Individual
ELNORA KHODJAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
221 PARKVILLE AVE, #1, BROOKLYN, NY 11230
(718) 676-0111
Mailing address
3086 WEST 1ST STREET, APTR4, BROOKLYN, NY 11224-3708
(347) 972-4138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345093-01
NY
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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