JACK NICOLAS KHAWAJA

ASTORIA, NY
NPI1134936545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-12-18
Last Update Date2024-12-18
Business Address
Mr. JACK NICOLAS KHAWAJA
2842 47TH ST
ASTORIA, NY 11103-1208
Phone number: 347-479-5166
Mailing Address
Mr. JACK NICOLAS KHAWAJA
2842 47TH ST
ASTORIA, NY 11103-1208
Phone number: 347-479-5166