Individual
AIDEN KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 E MAIN ST, BAY SHORE, NY 11706-8442
(631) 390-7100
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 390-7100
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
316651
NY
Other
Enumeration date
02/15/2017
Last updated
01/15/2025
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