Individual
SHERYL L KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
510 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 663-0500
(315) 663-0514
Mailing address
510 TOWNE DR, FAYETTEVILLE, NY 13066-1331
(315) 663-0500
(315) 663-0514
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005681-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02870024
—
NY
Enumeration date
11/14/2006
Last updated
09/27/2019
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