Individual
ILANA KHONONOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W 50TH ST FL 6, NEW YORK, NY 10020-1201
(212) 582-9100
(212) 956-0526
Mailing address
1735 YORK AVE APT 29E, NEW YORK, NY 10128-6861
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404067
NY
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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