TEODORA IBASITAS KHAN

MERRICK, NY
NPI1629319553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  278717-1)
Enumeration Date2013-03-01
Last Update Date2013-03-01
Business Address
Mrs. TEODORA IBASITAS KHAN lpn
2116 MERRICK AVE STE 2002
MERRICK, NY 11566-3409
Phone number: 516-867-7042
Mailing Address
Mrs. TEODORA IBASITAS KHAN lpn
2116 MERRICK AVE STE 2002
MERRICK, NY 11566-3409
Phone number: 516-867-7042