Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rena Khanukayeva DO, PC

Organization Clinic/Center · NPI 1639370554

Rena Khanukayeva DO, PC is a Clinic/Center in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2691 Hylan Blvd Ste # 5
Staten Island, NY 10306-4300
Phone: (718) 980-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 212257 (NY)

Record details

NPI number1639370554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rena Khanukayeva — President · (718) 980-3232
NPI enumeratedMay 29, 2007
Last updated in NPPESJuly 13, 2009
Mailing address2691 Hylan Blvd, Suite # 5, Staten Island, NY 10306-3231

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