Organization
LIBERTY 786 DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RBEEA M KHAN (D.D.S)
(718) 322-4200
Entity
Organization
Contact information
Practice address
11302 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1808
(718) 322-4200
(718) 322-1144
Mailing address
11302 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1808
(718) 322-4200
(718) 322-1144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054968-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03060184
—
NY
Enumeration date
10/14/2011
Last updated
10/14/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up