Individual
ANANTA KHELLAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24806 87TH AVE PH, BELLEROSE, NY 11426-2032
(718) 551-4638
Mailing address
24806 87TH AVE, BELLEROSE, NY 11426-2032
(718) 551-4638
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F407319
NY
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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