Elvira Khaimov, PA-C

NPI #1174294375 in Astoria, New York

Provider Information

NPI Number: 1174294375
Entity Type: Individual
Name: Elvira Khaimov, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 27, 2021
Last Updated: Nov 30, 2021

Practice Location

Address: 2510 30TH AVE
City: Astoria
State: New York
ZIP Code: 11102-2448
Phone: (718) 932-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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