Gloria Khan

NPI #1780432138 in Setauket, New York

Provider Information

NPI Number: 1780432138
Entity Type: Individual
Name: Gloria Khan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 10, 2024
Last Updated: May 10, 2024

Practice Location

Address: 16 ROBERT TOWNSEND DR
City: Setauket
State: New York
ZIP Code: 11733-1322
Phone: (631) 974-2614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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