Individual
SALAR JAMAL KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
49 MONTROSE AVE, BROOKLYN, NY 11206-2580
(718) 473-3808
Mailing address
9 GRANDVIEW AVE, NANUET, NY 10954-2510
(845) 323-6427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009843-1
NY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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