Provider Demographics
NPI:1538388475
Name:KHAN, SABRINA JASMIN (MD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:JASMIN
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:138 W 25TH ST
Mailing Address - Street 2:SUITE 606
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7405
Mailing Address - Country:US
Mailing Address - Phone:646-530-8717
Mailing Address - Fax:646-530-8717
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:646-530-8717
Practice Address - Fax:646-530-8717
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2349462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400005138Medicare PIN