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Individual

FAHTIMA KHWAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
11 OLDE HAMLET DR, JERICHO, NY 11753-1133

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/13/2024
Last updated
02/13/2024
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