Individual
ASIF JALIL KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 W BRIDGE ST, SAUGERTIES, NY 12477-1418
(845) 532-2381
(845) 338-2100
Mailing address
110 W BRIDGE ST, SAUGERTIES, NY 12477-1418
(845) 532-2381
(845) 338-2100
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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