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MOHAMMAD NIZAMUDDIN KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2241 OCEAN AVE, BROOKLYN, NY 11229-2303
(718) 375-3746
Mailing address
2609 AVENUE L, BROOKLYN, NY 11210-4632
(347) 406-1245

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311513-01
NY

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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