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1760255202
ALEX KHAIMOV
RICHMOND HILL, NY
NPI
1760255202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 353034)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
ALEX KHAIMOV
8542 116TH ST
RICHMOND HILL, NY 11418-1711
Phone number: 917-945-8732
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Mailing Address
ALEX KHAIMOV
8542 116TH ST
RICHMOND HILL, NY 11418-1711
Phone number:
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