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1255626545
IRINA KHAITOV
NEW HYDE PARK, NY
NPI
1255626545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 014200)
Enumeration Date
2011-06-14
Last Update Date
2013-01-16
Business Address
-- IRINA KHAITOV P.A
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7000
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Mailing Address
-- IRINA KHAITOV P.A
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7000
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