Individual
DR. USAMA KHAYYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2936 30TH AVE, ASTORIA, NY 11102-2251
(347) 396-5612
Mailing address
2936 30TH AVE, ASTORIA, NY 11102-2251
(347) 396-5612
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
303794
NY
208VP0000X
Pain Medicine Physician
303794
NY
Other
Enumeration date
04/01/2011
Last updated
06/28/2020
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