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Organization

RAYN HEALTHCARE ALLIANCE IPA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FARRUKH KHWAJA (MANAGING MEMBER)
(516) 458-7898
Entity
Organization

Contact information

Practice address
1979 MARCUS AVE, STE 210, NEW HYDE PARK, NY 11042-1076
(516) 622-2326
(516) 452-5840
Mailing address
1979 MARCUS AVE, STE 210, NEW HYDE PARK, NY 11042-1076
(516) 622-2326
(516) 452-5840

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
02/25/2010
Last updated
12/19/2014
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