Individual
ANNA KHESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12102 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2112
(718) 835-3400
Mailing address
12102 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008639
NY
Other
Enumeration date
07/10/2017
Last updated
09/28/2017
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