Individual
ALI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 INDIAN RIVER RD, ORANGE, CT 06477-3649
(203) 497-3861
Mailing address
240 INDIAN RIVER RD, ORANGE, CT 06477-3649
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16183
CT
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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