Most Relevant Information
Provider Data
| NPI Number: | 1003421637 |
| Provider Name: | AMANDA KHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 09/10/2020 |
Provider Practice Location
10819 ROCKAWAY BLVD
SOUTH OZONE PARK
NY
114201034
Practice Location Phone/Fax
| Phone: | 7188452621 |
| Fax: |
Provider Mailing Location
10819 ROCKAWAY BLVD
SOUTH OZONE PARK
NY
114201034
Provider Mailing Phone/Fax
| Phone: | 7188452621 |
| Fax: |