Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 263038 | NY |
NPI | 1295039253 |
---|---|
Provider Name | Dr. Divya Khurana |
First Address | Jamaica, NY 11418-5102 |
Second Address | Jamaica, NY 11418-5102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2011 |
Last Update Date | 06/05/2016 |