Individual provider · Type 1 NPI

Michelle Khaimov

Physician Assistant · Great Neck, NY

NPI number 1780596841 Active

Practice location

12 Old Colony Ln
Great Neck, NY 11023-1624

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780596841

Michelle Khaimov's National Provider Identifier is 1780596841, issued on Sep 22, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Great Neck, NY. The record was last updated on Sep 22, 2026.