Ayesha Khan

NPI #1619365749 in Syosset, New York

Provider Information

NPI Number: 1619365749
Entity Type: Individual
Name: Ayesha Khan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 23, 2014
Last Updated: Dec 23, 2014

Practice Location

Address: 14 SATURN CT
City: Syosset
State: New York
ZIP Code: 11791-6608
Phone: (631) 681-6720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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