DEANNA KHAVASOVA

Nurse Practitioner

Active Individual
NPI: 1255017042

Practice Address

71-20 110TH ST
Forest Hills, NY 11375

Phone: (718) 793-3200

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes F310862-01 (NY)

Frequently Asked Questions

NPI 1255017042 is the National Provider Identifier for DEANNA KHAVASOVA, a Nurse Practitioner provider located in Forest Hills, NY. This NPI was enumerated on June 26, 2023.
DEANNA KHAVASOVA practices at 71-20 110TH ST, Forest Hills, NY 11375.

Quick Facts

NPI
1255017042
Type
Individual
Enumerated
Jun 26, 2023
Last Updated
Jun 26, 2023

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