Search › New York › 363LF0000X
Mirena Khaimova
NPI 1447877592 · on the registry since 2020 · sole proprietor
Practice
- Address
- 302 Getz Ave
Staten Island, NY 10312 - Phone
- (917) 833-7391
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York