Organization
CRESCENT PHYSICAL THERAPY P.C.
Active
Other names
Khurram Khan
Organization subpart
No
Provider details
NPI number
Authorized official
KHURRAM KHAN P.T. (PRESIDENT/OWNER)
(917) 685-5954
Entity
Organization
Contact information
Practice address
2124 30TH AVE, SUITE C1, ASTORIA, NY 11102-4189
(917) 685-5954
(718) 545-0999
Mailing address
2124 30TH AVE, SUITE C1, ASTORIA, NY 11102-4189
(917) 685-5954
(718) 545-0999
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
025975
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6607395
GHI PPO
NY
Enumeration date
05/18/2006
Last updated
02/01/2016
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