Individual
MISS SARA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
444 DEPOT HILL RD, POUGHQUAG, NY 12570-5766
(845) 724-1292
Mailing address
444 DEPOT HILL RD, POUGHQUAG, NY 12570-5766
(845) 724-1292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020693
NY
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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