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1710457445
DIANA KHAIMOV
FAR ROCKAWAY, NY
NPI
1710457445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022914-1)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
DIANA KHAIMOV PA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000
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Mailing Address
DIANA KHAIMOV PA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number:
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