Individual
DR. MAYISHA AHSAN-KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19861 FOOTHILL AVE, HOLLIS, NY 11423-1611
(647) 338-2379
Mailing address
63 WINDSOR ROAD, ETOBICOKE, ONTARIO M9R 3-G6
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009310
NY
152W00000X
Optometrist
0618002995
VA
152W00000X
Optometrist
3222
CT
152W00000X
Optometrist
3731-35
WI
152W00000X
Optometrist
TPOP57
FL
Other
Enumeration date
03/05/2021
Last updated
02/28/2022
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