Individual
MAHBUB KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 CONEY ISLAND AVE STE 414, BROOKLYN, NY 11230-2342
(718) 414-9210
Mailing address
10616 76TH ST, OZONE PARK, NY 11417-1055
(718) 414-9210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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