Qamar J Khan

Individual provider Active NPI Licensed Practical Nurse · Guilderland, NY

NPI 1992952063 · NPPES record last updated Aug 21, 2008

Key facts

NPI
1992952063
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
135336 (NY)
Practice address
6021 Statefarm Rd
Guilderland, NY 12084
Phone
(518) 456-6525
NPI assigned
Aug 20, 2008
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 135336 NY Yes

Addresses

Primary practice location

6021 Statefarm Rd
Guilderland, NY 12084

Mailing address

21 Lois CT
Albany, NY 12205-2443
Phone (518) 456-8439

Other providers in Guilderland, NY

All providers in Guilderland, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.