Organization
PAIN AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KHALILI MD (PRESIDENT)
(929) 260-4168
Entity
Organization
Contact information
Practice address
16 MIDDLE NECK RD # 512, GREAT NECK, NY 11021-2357
(929) 260-4168
(925) 309-6396
Mailing address
16 MIDDLE NECK RD # 512, GREAT NECK, NY 11021-2357
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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