Individual
MR. KHALIL HANIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
8944 215TH ST, QUEENS VILLAGE, NY 11427-2406
(917) 974-5793
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025569
NY
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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