Individual
AMMAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
7301 GRAND AVE, MASPETH, NY 11378-1523
(718) 457-5900
Mailing address
7301 GRAND AVE, MASPETH, NY 11378-1523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018024
NY
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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