Organization
MIRZA M ASHRAF & MULAZIM H KHAN
Active
Other names
Philadelphia Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE M MURPHY CPC (MANAGER)
(315) 493-1450
Entity
Organization
Contact information
Practice address
32787 US RT 11, PHILADELPHIA, NY 13673
(315) 642-0026
(315) 642-1028
Mailing address
PO BOX 479, PHILADELPHIA, NY 13673
(315) 642-0026
(314) 642-1028
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003616-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188238
—
NY
05
—
02568298
—
NY
01
—
119064
MVP
NY
Enumeration date
07/17/2006
Last updated
03/17/2015
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