IndividualActive
Albert Khanimov, RPA-C
NPI 1255570826 · Surgical Physician Assistant · Rego Park, NY
Provider details
- NPI number
- 1255570826
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 012445 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9701 66th Ave
Rego Park, NY 11374-4245
Phone: (718) 423-0808
Approximate (ZIP-level) locationGet directions
Mailing address
9701 66th Ave
Rego Park, NY 11374-4245
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.