Individual
MISS TAHIRA JAVEEN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
1 ODELL PLZ, YONKERS, NY 10701-1402
(914) 965-1152
Mailing address
9475 218TH ST, QUEENS VILLAGE, NY 11428-2149
(646) 462-1378
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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