Individual
LEVAN KHASIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11115 QUEENS BLVD, 2ND FL, FOREST HILLS, NY 11375-7422
(718) 520-2300
(718) 520-4440
Mailing address
111-15 QUEENS BLVD, 2ND FL, FOREST HILLS, NY 11375-7422
(718) 520-2300
(718) 520-4440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
160993
NY
Other
Enumeration date
10/03/2006
Last updated
07/14/2008
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