Provider Demographics
NPI:1093951592
Name:KHAN, CLAUIA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CLAUIA
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2838
Mailing Address - Country:US
Mailing Address - Phone:914-207-1342
Mailing Address - Fax:
Practice Address - Street 1:52 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2838
Practice Address - Country:US
Practice Address - Phone:914-207-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY506937163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse