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Individual

DR. ANTHONY B KHABUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2177 VICTORY BLVD, STATEN ISLAND, NY 10314-6603
(718) 370-3730
(718) 698-9412
Mailing address
185 GUYON AVE, STATEN ISLAND, NY 10306-3947

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279050
NY
208M00000X
Hospitalist Physician
Primary
279050
NY

Other

Enumeration date
04/25/2012
Last updated
10/05/2021
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