MEDICARE: FARAH ZAREEN KHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1346749835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH ZAREEN KHAN

Provider Business Mailing Address
First Line	:	615 W 162ND ST APT 20A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-4780
Country	:	US
Telephone Number	:	718-578-5992
Fax Number	:	646-759-2862

Provider Business Practice Location Address
First Line	:	127 W 30TH ST FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-3406
Country	:	US
Telephone Number	:	718-578-5992
Fax Number	:	646-759-2862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2018
Last Update Date	:	04/02/2024

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Directions to “ FARAH ZAREEN KHAN ” Practice Location

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