DIANA KHAIMOV

FAR ROCKAWAY, NY
NPI1710457445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  022914-1)
Enumeration Date2018-11-26
Last Update Date2018-11-26
Business Address
DIANA KHAIMOV PA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number: 718-869-7000
Mailing Address
DIANA KHAIMOV PA
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691-4423
Phone number:
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