Individual provider · Type 1 NPI

Ilana Khononov

Psychiatric/Mental Health Nurse Practitioner · New York, NY

NPI number 1992447635 Active

Practice location

135 W 50th St Fl 6
New York, NY 10020-1201

Fax (212) 956-0526

Mailing address

1735 York Ave Apt 29E
New York, NY 10128-6861

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X404067 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1992447635

Ilana Khononov's National Provider Identifier is 1992447635, issued on Apr 12, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Apr 12, 2022.