Organization
HOME PHYSICIAN ASSISTANT SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED ELBANNA (MD)
(646) 321-2331
Entity
Organization
Contact information
Practice address
2119 E 15TH ST STE B1, BROOKLYN, NY 11229-4376
(718) 339-2901
Mailing address
2119 E 15TH ST STE B1, BROOKLYN, NY 11229-4376
(718) 339-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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