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Individual

ALISHA TYAGI KHANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
330 W 56TH ST APT 23D, NEW YORK, NY 10019-4236
(970) 389-1009
Mailing address
330 W 56TH ST APT 23D, NEW YORK, NY 10019-4236
(970) 389-1009

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NY

Other

Enumeration date
02/02/2026
Last updated
02/02/2026
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