Individual
ADAM ZAFAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8541 105TH ST, RICHMOND HILL, NY 11418-1128
(718) 805-2643
Mailing address
8541 105TH ST, RICHMOND HILL, NY 11418-1128
(718) 805-2643
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017320
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017320
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
10/26/2014
Last updated
10/26/2014
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