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1174135800
SIMKHA KHAVASOV
BRONX, NY
NPI
1174135800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 703765)
Enumeration Date
2020-08-24
Last Update Date
2022-02-02
Business Address
Dr. SIMKHA KHAVASOV CRNA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4316
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Mailing Address
Dr. SIMKHA KHAVASOV CRNA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4316
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