Individual
NIDA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
896 OLD COUNTRY RD STE 200, RIVERHEAD, NY 11901-2154
(631) 846-5250
Mailing address
45 ARBOR FIELD WAY, LAKE GROVE, NY 11755-1833
(631) 804-7330
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
336541
NY
207RX0202X
Medical Oncology Physician
Primary
336541
NY
Other
Enumeration date
03/25/2020
Last updated
05/01/2025
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