Khavasova, Deanna

Khavasova, Deanna is an individual health care provider with primary practice located at 71-20 110Th St , Forest Hills NY 11375. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Khavasova, Deanna can be contacted via phone (718) 793-3200.

Contact Information

Primary practice address
71-20 110Th St Forest Hills NY 11375
Phone: (718) 793-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F310862-01 New York

Profile Details

NPI number 1255017042
LBN Legal business name Khavasova, Deanna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2023
Last updated Jun 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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