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General NPI Number Information
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NPI Number | 1932829058
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Entity Type | Organization
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Legal Business Name | FAISAL Y. KHAN, MEDICAL, PLLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 178 COLUMBUS AVE PO#237050
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 646-481-8805
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Fax | 646-304-6562
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Provider Business Mailing Address
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Address Line | 178 COLUMBUS AVE PO BOX 237050
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 646-481-8805
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Fax | 646-304-6562
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Authorized Official
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Title or Position | CHILD & ADOLESCENT PSYCHIATRIST
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Name | FAISAL YAR KHAN
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Credential | MD, MPH
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Telephone | 925-719-0998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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