Individual ProviderYasin KhanRegistered NurseNursing Service ProvidersPractice Address20903 Whitehall Ter, Queens Village, NY 11427-1722(646) 315-2003PECOS EnrollmentBased on the most recent information from CMS, provider Yasin Khan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1568141182Provider TypeIndividualFull NameKhan, YasinGenderMaleSole ProprietorNoEnumeration Date7/12/2023Last Updated7/12/2023Contact InformationPractice LocationPractice Address20903 Whitehall Ter, Queens Village, NY 11427-1722Phone(646) 315-2003FaxUnlisted FaxMailing LocationMailing Address20903 Whitehall Ter, Queens Village, NY 11427-1722PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense890828New York