Individual provider · Type 1 NPI

Polina Khoshayev, PA

Surgical Physician Assistant · Jamaica, NY

NPI number 1154422095 Active

Practice location

82-68 164th St
Jamaica, NY 11432-1121

Call (718) 883-3225 Map

Fax (718) 883-6193

Mailing address

79-01 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X009130 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1154422095

Polina Khoshayev, PA's National Provider Identifier is 1154422095, issued on Sep 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Jamaica, NY. The record was last updated on Aug 11, 2009.