Provider Demographics
NPI:1285816397
Name:KHOZIN, SEAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:KHOZIN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 N MOORE ST
Mailing Address - Street 2:APT #8G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-2701
Mailing Address - Country:US
Mailing Address - Phone:212-920-0484
Mailing Address - Fax:
Practice Address - Street 1:80 N MOORE ST
Practice Address - Street 2:APT #8G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-2701
Practice Address - Country:US
Practice Address - Phone:212-920-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine