Individual
ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 OCEANVIEW AVE, VALLEY STREAM, NY 11581-1426
(347) 935-5840
Mailing address
87 OCEANVIEW AVE, VALLEY STREAM, NY 11581-1426
(347) 935-5840
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336600
NY
Other
Enumeration date
04/14/2025
Last updated
04/23/2025
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