Individual
STEPHANIE M KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11078 QUEENS BLVD, FOREST HILLS, NY 11375-6345
(718) 309-2827
Mailing address
9532 75TH ST, OZONE PARK, NY 11416-1006
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
660206
NY
207Q00000X
Family Medicine Physician
341863
NY
363LF0000X
Family Nurse Practitioner
F341863
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
341863
NY
Other
Enumeration date
09/19/2017
Last updated
01/24/2025
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