Individual
DR. FEREYDOUN KHALILI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
103-43 LEFFERTS BLVD., 2ND FL., SOUTH RICHMOND HILL, NY 11419
(718) 843-5500
(718) 841-7600
Mailing address
103-43 LEFFERTS BLVD., 2ND FL., SOUTH RICHMOND HILL, NY 11419
(718) 843-5500
(718) 841-7600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01644504
—
NY
Enumeration date
04/24/2007
Last updated
05/14/2012
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