Provider Demographics
NPI:1669782439
Name:KHUSAINOVA, ELVINA (MD)
Entity type:Individual
Prefix:DR
First Name:ELVINA
Middle Name:
Last Name:KHUSAINOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:700 HICKSVILLE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3472
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:360 W 31ST ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2861
Practice Address - Country:US
Practice Address - Phone:646-987-3436
Practice Address - Fax:646-293-1441
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY282764207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease