Individual
ALI KHAIRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 EAST 149TH STREET, 2C2 ROOM 445A, DEPARTMENT OF EMERGENCY MEDICINE,, NEW YORK, NY 10451
(718) 579-6011
(718) 579-4822
Mailing address
234 EAST 149TH STREET, 2C2 ROOM 445A, DEPARTMENT OF EMERGENCY MEDICINE,, NEW YORK, NY 10451
(718) 579-6011
(718) 579-4822
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20975
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
03/01/2021
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