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1245629245
KHEMRAJ MOHAN
QUEENS VILLAGE, NY
NPI
1245629245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307100-1)
Enumeration Date
2015-01-13
Last Update Date
2015-01-13
Business Address
-- KHEMRAJ MOHAN NP
10613 227TH ST
QUEENS VILLAGE, NY 11429-2464
Phone number: 516-668-6154
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Mailing Address
-- KHEMRAJ MOHAN NP
900 FRANKLIN AVE
VALLEY STREAM, NY 11580-2145
Phone number: 516-256-6000
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