Gerald Anthony Khan, C.R.N.A

Individual provider Active NPI Certified Registered Nurse Anesthetist · New York, NY

NPI 1982933875 · NPPES record last updated Dec 23, 2009

Key facts

NPI
1982933875
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
298650-1 (NY)
Practice address
506 Lenox Ave
New York, NY 10037-1802
Phone
(212) 939-3550
Fax
(212) 939-3557
NPI assigned
Dec 23, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
298650-1NYMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 298650-1 NY Yes

Addresses

Primary practice location

506 Lenox Ave
New York, NY 10037-1802

Mailing address

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-3550

Other providers in New York, NY

All providers in New York, NY · Certified Registered Nurse Anesthetist in New York

Sources for this page

Verify at the official NPI Registry.