Individual
JEWEL KHAWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
706 EXECUTIVE BLVD, SUITE D, VALLEY COTTAGE, NY 10989-2038
(845) 362-3904
Mailing address
706 EXECUTIVE BLVD, SUITE D, VALLEY COTTAGE, NY 10989-2038
(845) 362-3904
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
26596
NY
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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