Individual
SAMEENA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21621 HOLLIS AVE, QUEENS VILLAGE, NY 11429-1948
(718) 776-2223
(718) 776-2227
Mailing address
21621 HOLLIS AVE, QUEENS VILLAGE, NY 11429-1948
(718) 776-2223
(718) 776-2227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
215204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02215323
—
NY
Enumeration date
07/29/2005
Last updated
01/09/2015
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