Organization
MUZAFFAR N KHAN PHYSICIAN PC
Active
Other names
Muzaffar N Khan MD PC, Central New York Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
MUZAFFAR N KHAN MD (OWNER)
(315) 798-8297
Entity
Organization
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-8294
(315) 734-3070
Mailing address
4567 CROSSROADS PARK DR, CREDENTIALING, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/06/2005
Last updated
09/18/2020
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