SIMKHA KHAVASOV

BRONX, NY
NPI1174135800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  703765)
Enumeration Date2020-08-24
Last Update Date2022-02-02
Business Address
Dr. SIMKHA KHAVASOV CRNA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4316
Mailing Address
Dr. SIMKHA KHAVASOV CRNA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4316
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