Individual
SUMRA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
31 MERRICK AVE STE 10, MERRICK, NY 11566-3406
(516) 771-9797
Mailing address
31 MERRICK AVE STE 10, MERRICK, NY 11566-3406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
351276
NY
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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