Individual
FARJALLAH NASSIM KHOURY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 CHAMPLIN AVE, UTICA, NY 13502-4801
(315) 624-8400
(315) 624-8698
Mailing address
111 HOSPITAL DR, UTICA, NY 13502-2517
(315) 801-8534
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
335053
NY
208100000X
Physical Medicine & Rehabilitation Physician
A112452
CA
Other
Enumeration date
06/17/2008
Last updated
01/05/2026
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