DEANNA KHAVASOVA

FOREST HILLS, NY
NPI1255017042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F310862-01)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
DEANNA KHAVASOVA
71-20 110TH ST
FOREST HILLS, NY 11375
Phone number: 718-793-3200
Mailing Address
DEANNA KHAVASOVA
102-41 63RD ROAD
FOREST HILLS, NY 11375
Phone number: 954-554-3783
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