Individual
DAVID KHASIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2797 OCEAN PKWY, 2ND FLOOR, BROOKLYN, NY 11235-7861
(718) 332-7111
(718) 332-7110
Mailing address
2797 OCEAN PKWY, 2ND FLOOR, BROOKLYN, NY 11235-7861
(718) 332-7111
(718) 332-7110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1630021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00900367
—
NY
Enumeration date
06/03/2006
Last updated
01/07/2008
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