Individual
THAER KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3427
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-3427
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
002705
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
002705
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02809387
—
NY
Enumeration date
09/15/2006
Last updated
01/20/2021
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