Organization
BROADWAY MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD KHALIL MD (OWNER)
(914) 376-7767
Entity
Organization
Contact information
Practice address
75 SOUTH BROADWAY, YONKERS, NY 10701
(914) 376-7767
(914) 376-7106
Mailing address
75 SOUTH BROADWAY, YONKERS, NY 10701
(914) 376-7767
(914) 376-7106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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