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1215761960
MOHAMMAD NIZAMUDDIN KHAN
BROOKLYN, NY
NPI
1215761960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F311513-01)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
MOHAMMAD NIZAMUDDIN KHAN NP
2241 OCEAN AVE
BROOKLYN, NY 11229-2303
Phone number: 718-375-3746
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Mailing Address
MOHAMMAD NIZAMUDDIN KHAN NP
2609 AVENUE L
BROOKLYN, NY 11210-4632
Phone number: 347-406-1245
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