Individual
ALAEDEEN KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 610-0170
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310499-01
NY
Other
Enumeration date
04/01/2022
Last updated
05/05/2022
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