Individual provider · Type 1 NPI

Sumer Khan

Physician Assistant · Port Jefferson, NY

NPI number 1124192422 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 473-1320 Map

Fax (631) 686-7626

Mailing address

625 Belle Terre Rd, Suite 100
Port Jefferson, NY 11777-2316

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X010851 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124192422

Sumer Khan's National Provider Identifier is 1124192422, issued on Nov 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 17, 2007.