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Contact Information

KOUSAI O ALI KHAN, PA
99 E STATE ST
GLOVERSVILLE, NY12078-1203
 Phone: 518-725-8621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KOUSAI O ALI KHAN · (Male)

NPI Number 1023528312
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/02/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 021448
Hospital affiliation(s)
  • ELIZABETHTOWN COMMUNITY HOSPITAL - (Critical Access)
    75 PARK STREET
    ELIZABETHTOWN, NY 12932
  • NATHAN LITTAUER HOSPITAL - (Acute Care)
    99 EAST STATE STREET
    GLOVERSVILLE, NY 12078
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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