Individual
ELISA KHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8519 263RD ST, FLORAL PARK, NY 11001-1137
(516) 466-5222
Mailing address
488 GREAT NECK RD, GREAT NECK, NY 11021-4315
(917) 225-2538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058281-1
NY
Other
Enumeration date
05/05/2014
Last updated
01/13/2017
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