Individual
MRS. ASMA KHALID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 464-8912
Mailing address
1174 OCEAN AVE, BAY SHORE, NY 11706-1943
(631) 464-8912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
029002
NY
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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