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Contact Information

SUMER KHAN
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-473-1320
 Fax: 631-686-7626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SUMER KHAN · (Female)

NPI Number 1124192422
Status Active
Credentials
Entity Individual
Enumeration date 11/20/2006
Last updated 08/17/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010851
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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