RENA KHANUKAYEVA D.O.P.C. NPI 1639370554

NPI Information

RENA KHANUKAYEVA D.O.,P.C. is a clinic center in Staten Island, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RENA KHANUKAYEVA D.O.,P.C. NPI is 1639370554. The provider is registered as an organization entity type.

The provider's business location address is:

2691 HYLAN BLVD
SUITE # 5
STATEN ISLAND, NY
ZIP 10306-300
Phone: (718) 980-3232

The provider's authorized official is Rena Khanukayeva .
The authorized official title is President and has the following contact phone number (718) 980-3232.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 7/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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