Individual
FAIZOOL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.C.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(929) 264-6487
Mailing address
255 E SHORE DR, MASSAPEQUA, NY 11758-8404
(516) 220-6192
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007654
NY
Other
Enumeration date
11/13/2006
Last updated
02/11/2023
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