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1447796057
ANDREY KHAIMOV
BRONX, NY
NPI
1447796057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F341126)
Enumeration Date
2017-01-06
Last Update Date
2020-10-26
Business Address
Mr. ANDREY KHAIMOV NP
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
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Mailing Address
Mr. ANDREY KHAIMOV NP
1434 WILLIAMSBRIDGE RD FL 2
BRONX, NY 10461-2507
Phone number: 718-618-0401
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