RENA KHANUKAYEVA D.O.,P.C.
Ambulatory Health in Staten Island, NY

License number
New York 212257
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: RENA KHANUKAYEVA D.O.
Title: PRESIDENT
Phone: (718) 980-3232
Address
Address
2691 Hylan Blvd Suite #5, Staten Island, NY 10306
National Provider ID: 1639370554
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Rena Khanukayeva Do PC

2691 Hylan Blvd, Staten Island, NY 10306

Categories:
Physicians & Surgeons
Phone:
(718) 980-3232 (Phone)

RENA KHANUKAYEVA D.O., PC

34 Comfort Ct, Staten Island, NY 10312

Industry:
Osteopathic Physician's Office
Registration:
Sep 13, 2002
State ID:
2811596
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Chairman:
Rena Khanukayeva (Chairman), 34 Comfort Ct, Staten Island, NY 10312 (Physical)

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