Provider Demographics
NPI:1538698329
Name:KHALID, FAIZA
Entity Type:Individual
Prefix:
First Name:FAIZA
Middle Name:
Last Name:KHALID
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 1:400 SAINT NICHOLAS AVE APT 8N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-7663
Mailing Address - Country:US
Mailing Address - Phone:917-805-3326
Mailing Address - Fax:
Practice Address - Street 1:400 SAINT NICHOLAS AVE APT 8N
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-7663
Practice Address - Country:US
Practice Address - Phone:917-805-3326
Practice Address - Fax:917-805-3326
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
931463431OtherGHI