Individual
DR. LUDWIG E KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
532 COFFEEN ST, WATERTOWN, NY 13601-2421
(315) 788-1100
(315) 788-1188
Mailing address
PO BOX 8086, UTICA, NY 13505
(315) 624-7911
(315) 624-7912
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
241599
NY
207K00000X
Allergy & Immunology Physician
K5132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02893667
—
NY
Enumeration date
08/15/2006
Last updated
10/10/2017
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