Individual
KHALIL ULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 BEDFORD AVE, BROOKLYN, NY 11205-1522
(347) 352-8401
Mailing address
10618 76TH ST, OZONE PARK, NY 11417-1008
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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