Individual
AMMARAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4 W 93RD ST, NEW YORK, NY 10025-7601
(212) 749-6200
Mailing address
4 W 93RD ST, NEW YORK, NY 10025-7601
(212) 749-6200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001847
NY
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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