Dr. Khalida Itriyeva
Adolescent Medicine
410 Lakeville Rd Ste 108
New Hyde Park
, New York 11042
Dr. Khalida Itriyeva
Adolescent Medicine
410 Lakeville Rd Ste 108
New Hyde Park
, New York 11042
(201) 207-1196
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Khalida Itriyeva
- 10525 67th Rd Apt 5h
- Forest Hills, NY
- Zip : 11375-2398
- Phone : (201) 207-1196
Second Address
- Dr. Khalida Itriyeva
- 410 Lakeville Rd Ste 108
- New Hyde Park, NY
- Zip : 11042
- Fax : (516) 465-5299
- Phone : (516) 465-3270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 266549 | NY |
National Provider Identifier
| NPI | 1245523513 |
|---|---|
| Provider Name | Dr. Khalida Itriyeva |
| First Address | Forest Hills, NY 11375-2398 |
| Second Address | New Hyde Park, NY 11042 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2011 |
| Last Update Date | 30/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.