Individual
NABIL MOSSAD KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 LAKE AVE, BROCTON, NY 14716
(716) 792-7100
(716) 667-3528
Mailing address
7491 JEWETT HOLMWOOD RD, ORCHARD PARK, NY 14127
(716) 667-3122
(716) 662-3528
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
168 189
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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