RENAT KHASANOV

GLEN OAKS, NY
NPI1174251318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  404349)
Enumeration Date2022-08-14
Last Update Date2022-09-23
Business Address
RENAT KHASANOV MSN, PMHNP-BC, RN
75-59 263RD STREET
GLEN OAKS, NY 11004-1100
Phone number: 718-470-5750
Mailing Address
RENAT KHASANOV MSN, PMHNP-BC, RN
2266 BATH AVE # 3010
BROOKLYN, NY 11214-5714
Phone number: 917-969-6012
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