Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 198462 | NY |
NPI | 1184812257 |
---|---|
Provider Name | Prof. Afshan M Khan |
First Address | Bronx, NY 10461-4818 |
Second Address | Bronx, NY 10461-4818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2007 |
Last Update Date | 13/10/2007 |