MIRENA KHAIMOVA

STATEN ISLAND, NY
NPI1447877592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F342807-1)
Enumeration Date2020-07-05
Last Update Date2020-07-05
Business Address
MIRENA KHAIMOVA
302 GETZ AVE
STATEN ISLAND, NY 10312-2433
Phone number: 917-833-7391
Mailing Address
MIRENA KHAIMOVA
302 GETZ AVE
STATEN ISLAND, NY 10312-2433
Phone number: 917-833-7391
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