Provider Demographics
NPI:1467968347
Name:KHAN, SABIHA (MS, OT)
Entity Type:Individual
Prefix:
First Name:SABIHA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MS, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 W 7TH ST APT B7
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-6561
Mailing Address - Country:US
Mailing Address - Phone:413-306-2178
Mailing Address - Fax:
Practice Address - Street 1:1581 W 7TH ST APT B7
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-6561
Practice Address - Country:US
Practice Address - Phone:413-306-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022172225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY022172OtherNYSED