Healthcare Provider Details

I. General information

NPI: 1306250220
Provider Name (Legal Business Name): MS. GENEVIEVE FRANCES KHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10803 85TH AVE
RICHMOND HILL NY
11418-1207
US

IV. Provider business mailing address

10803 85TH AVE
RICHMOND HILL NY
11418-1207
US

V. Phone/Fax

Practice location:
  • Phone: 917-362-8854
  • Fax:
Mailing address:
  • Phone: 917-362-8854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: