Individual
ASIF ALAM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4163
Mailing address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4163
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
04/20/2024
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