Provider Demographics
NPI:1558886796
Name:KRISHAN, SAHIL
Entity Type:Individual
Prefix:MR
First Name:SAHIL
Middle Name:
Last Name:KRISHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14309 BARCLAY AVE APT 2G
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1901
Mailing Address - Country:US
Mailing Address - Phone:917-588-8684
Mailing Address - Fax:
Practice Address - Street 1:14309 BARCLAY AVE APT 2G
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1901
Practice Address - Country:US
Practice Address - Phone:917-588-8684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator