Organization
SYOSSET ENDOCRINOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA KHALFIN M.D. (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
175 JERICHO TPKE, SUITE 204, SYOSSET, NY 11791-4532
(631) 271-9151
Mailing address
175 JERICHO TPKE STE 201, SYOSSET, NY 11791-4538
(631) 271-9151
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
239938
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239938
LICENSE
NY
Enumeration date
05/31/2012
Last updated
10/08/2019
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