# AMBREEN KHALIL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649705732
- **Authorized official:** AMBREEN KHALIL MD (PRACTICE OWNER)
- **Authorized official phone:** (443) 762-4225

## Contact information

- **Practice address:** 271 MASON AVE, STATEN ISLAND, NY 10305-3417
- **Practice address phone:** (443) 762-4225
- **Practice address fax:** (718) 351-2897
- **Mailing address:** 226 50 AVE 12 D, LONG ISLAND CITY, NY 11101-4511
- **Mailing address phone:** (443) 762-4225
- **Mailing address fax:** (718) 351-2897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2017
- **Last updated:** 04/26/2017