Rena Khanukayeva D.o.,p.c.
Clinic/Center in Staten Island, New York
1639370554- Practice location
- 2691 Hylan Blvd, Suite # 5, Staten Island, NY 10306-4300
- Phone
- 718-980-3232
- Fax
- —
- Last updated
- July 13, 2009
Rena Khanukayeva D.o.,p.c. is a healthcare organization based in Staten Island, NY. Rena Khanukayeva D.o.,p.c. practices in Staten Island, NY. The NPI Number for Rena Khanukayeva D.o.,p.c. is 1639370554 and holds a License No. 212257 (NY). The current practice location address for Rena Khanukayeva D.o.,p.c. is 2691 Hylan Blvd, Suite # 5, Staten Island, NY 10306-4300 and can be reached out via phone at 718-980-3232.
Provider Profile Details
- NPI Number
- 1639370554
- Provider Name
- Rena Khanukayeva D.o.,p.c.
- Provider Entity Type
- Organization
- Address
- 2691 Hylan Blvd, Suite # 5, Staten Island, NY 10306-4300
- Phone Number
- 718-980-3232
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Rena Khanukayeva, DO · President · 718-980-3232
- Provider Enumeration Date
- May 29, 2007
- Last Update Date
- July 13, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2691 Hylan Blvd
Suite # 5
Staten Island, NY 10306-4300 - City
- Staten Island
- State
- New York
- Zip
- 10306-4300
- Phone Number
- 718-980-3232
Provider Business Mailing Address Details
- Address
- 2691 Hylan Blvd
Suite # 5
Staten Island, NY 10306-3231 - City
- Staten Island
- State
- NY
- Zip
- 10306-3231
- Phone Number
- 718-980-3232
License Information
- License Number
- 212257
- License State
- NY
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Rena Khanukayeva D.o.,p.c.?
The NPI number of Rena Khanukayeva D.o.,p.c. is 1639370554. It was assigned on May 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Rena Khanukayeva D.o.,p.c.?
Rena Khanukayeva D.o.,p.c. is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NY under license number 212257.
Where does Rena Khanukayeva D.o.,p.c. practice?
The practice location is 2691 Hylan Blvd, Suite # 5, Staten Island, NY 10306-4300. The office can be reached at 718-980-3232 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639370554 directly on the NPPES registry website.