Khazzam, Matthew

Khazzam, Matthew is an sole proprietor health care provider with primary practice located at 900 Franklin Ave , Valley Stream NY 11580-2145. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Khazzam, Matthew can be contacted via phone (516) 256-6000.

Contact Information

Primary practice address
900 Franklin Ave Valley Stream NY 11580-2145
Phone: (516) 256-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 026980-01 New York

Profile Details

NPI number 1598112047
LBN Legal business name Khazzam, Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2016
Last updated Nov 20th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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