Individual
STEPHANIE KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 MARGETTS RD, MONSEY, NY 10952-5023
(845) 577-6190
Mailing address
9 RAKE ST APT 1, HARRIMAN, NY 10926-3247
(914) 258-4362
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
775387
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140996425
—
NY
Enumeration date
10/30/2019
Last updated
10/30/2019
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