Organization
FINGER LAKES PSYCHIATRIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSLIM KHAN MD (OWNER)
(315) 492-5635
Entity
Organization
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5635
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 422-6548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02933719
—
NY
Enumeration date
10/19/2007
Last updated
10/31/2015
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