Individual
FARZANA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
(718) 441-0155
Mailing address
10616 76TH ST, OZONE PARK, NY 11417-1055
(929) 428-0525
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134950110
CASE WORK/ SERVICE COORDINATOR
NY
Enumeration date
02/27/2019
Last updated
10/17/2019
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