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NPI Code Detail

MEDICARE: CYNTHIA KHAN

MEDICARE:   CYNTHIA  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
1103K00000XBehavior AnalystNY

General Provider Information

NPI Number : 1629901467
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA KHAN
Provider Business Mailing Address
First Line : 1365 BRENTWOOD RD
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-5726
Country : US
Telephone Number : 646-599-1117
Fax Number :
Provider Business Practice Location Address
First Line : 1365 BRENTWOOD RD
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-5726
Country : US
Telephone Number : 646-599-1117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ CYNTHIA KHAN ” Practice Location

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