Individual
VIRGINIA M KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 ACADEMY RD, ALBANY, NY 12208-3103
(518) 701-0611
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
162105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000490294001
BSNENY
—
05
—
00162105
—
NY
01
—
10001053
CDPHP
—
01
—
1400500
EMPIRE BLUE CROSS
—
01
—
951105
MVP
—
Enumeration date
08/29/2006
Last updated
05/02/2024
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