Individual
MR. JOHNATHAN ALEXANDER KHUSID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. (MAY 2015)
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029
(212) 241-4812
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-4812
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
303651-01
NY
Other
Enumeration date
04/04/2015
Last updated
03/21/2022
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