Individual
AYESHA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 SATURN CT, SYOSSET, NY 11791-6608
(631) 681-6720
Mailing address
14 SATURN CT, SYOSSET, NY 11791-6608
(631) 681-6720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060066-1
NY
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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