Individual
HOMA KHOWAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA4908
MA
363AM0700X
Medical Physician Assistant
Primary
015584
NY
Other
Enumeration date
04/27/2012
Last updated
08/30/2022
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