Individual
DR. FADY KHOURY COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE FL 4, NEW YORK, NY 10032-3729
(212) 305-3410
(212) 305-3412
Mailing address
161 FORT WASHINGTON AVE FL 4, NEW YORK, NY 10032-3729
(212) 305-3410
(212) 305-3412
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
245737
NY
207VX0201X
Gynecologic Oncology Physician
Primary
245737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02585591
—
NY
Enumeration date
09/20/2005
Last updated
03/15/2023
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