Organization
PS MEDICAL CARE OF ELMONT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMA KHAN MD (ADMINISTRATOR)
(501) 766-4777
Entity
Organization
Contact information
Practice address
20B MEACHAM AVE, ELMONT, NY 11003-2654
(516) 502-9355
(888) 858-2068
Mailing address
20B MEACHAM AVE, ELMONT, NY 11003-2654
(516) 502-9355
(888) 858-2068
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268169
LICENSE
NY
Enumeration date
07/03/2017
Last updated
12/02/2024
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