Individual
FAHRINA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-3000
Mailing address
39 PINE ST, HICKSVILLE, NY 11801-3237
(929) 338-8111
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/03/2023
Last updated
08/03/2023
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