Provider Demographics
NPI:1043717200
Name:ALIKHAN, ANAM
Entity Type:Individual
Prefix:
First Name:ANAM
Middle Name:
Last Name:ALIKHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:SELDEN
Mailing Address - State:NY
Mailing Address - Zip Code:11784-3018
Mailing Address - Country:US
Mailing Address - Phone:347-935-0060
Mailing Address - Fax:
Practice Address - Street 1:94 SUNSET AVE
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-3018
Practice Address - Country:US
Practice Address - Phone:347-935-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker