Individual
SAMEERA H KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C, RD
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4611
(607) 547-7699
Mailing address
16 AUSTIN LN, HUNTINGTON, NY 11743-5902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
861438
NY
363AM0700X
Medical Physician Assistant
Primary
012308-1
NY
Other
Enumeration date
01/14/2008
Last updated
04/15/2024
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