Individual
HABIBA JAMILA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1699
(718) 818-4636
(718) 818-2739
Mailing address
7266 WOOD AVE, WARREN, MI 48091-2035
(313) 569-9520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P122552
NY
Other
Enumeration date
06/30/2023
Last updated
05/19/2025
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