Provider Demographics
NPI:1366174021
Name:KHAN, SHAFINAZ
Entity type:Individual
Prefix:
First Name:SHAFINAZ
Middle Name:
Last Name:KHAN
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 1:8001 101ST AVE
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-1923
Mailing Address - Country:US
Mailing Address - Phone:718-641-3938
Mailing Address - Fax:212-888-6024
Practice Address - Street 1:8001 101ST AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1923
Practice Address - Country:US
Practice Address - Phone:718-641-3938
Practice Address - Fax:212-888-6024
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor