Individual
ZUMRAT KHAIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 879-1651
Mailing address
14427 78TH AVE, KEW GARDENS HILLS, NY 11367-3430
(718) 591-3067
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007809
NY
Other
Enumeration date
06/06/2006
Last updated
04/30/2009
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