Angelica I Khaimov LMSW

NPI 1760747489 - Social Worker - 104100000X

NPI Details
NPI 1760747489
Gender Female
Enumeration Date 07/09/2012
Last Updated 07/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
DOUGLASTON NY, 11362-1150, US
Phone (718) 423-6200
Business Location
6941 183RD ST
FRESH MEADOWS NY, 11365-3535, US
Phone (718) 969-4972
Taxonomy Code 104100000X
License State New York
License Number 086491
Remove 1760747489 NPI Number

According to our database, Mrs. Angelica I Khaimov LMSW NPI is 1760747489, taxonomy code is 104100000X and license number is 086491, license state is located at New York. Angelica I Khaimov LMSW physically located at 24302 Northern Blvd, Douglaston NY, 11362-1150. NPI Number Angelica I Khaimov LMSW has the Individual type.

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1760747489 NPI number is provided on an as is basis without warranty of any kind. 1760747489 is maintained by the National Plan & Provider Enumeration System. The contents of Angelica I Khaimov LMSW are for informational purposes only.