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Individual

FARAZ KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1602
(315) 470-7111
Mailing address
309 BRYANT AVE, SYRACUSE, NY 13204-2603
(347) 561-2932

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
358109
NY

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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