Individual
MONA KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 AVENUE U, BROOKLYN, NY 11229
(718) 998-6684
(718) 998-0513
Mailing address
1685 B GRAND AVENUE, BALDWIN, NY 11510
(516) 378-1280
(516) 378-0086
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004635-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02088342
—
NY
Enumeration date
10/23/2006
Last updated
01/28/2009
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