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1255358164
RENA KHANUKAYEVA
STATEN ISLAND, NY
NPI
1255358164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 212257)
Enumeration Date
2006-07-16
Last Update Date
2024-09-24
Business Address
RENA KHANUKAYEVA
34 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-980-3232
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Mailing Address
RENA KHANUKAYEVA
34 DUMONT AVE
STATEN ISLAND, NY 10305-1450
Phone number: 718-980-3232
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