Individual
KHALED AHMED MARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
613 W 169TH ST, NEW YORK, NY 10032-2914
(212) 927-8039
Mailing address
50 SEASIDE LN, STATEN ISLAND, NY 10305-4754
(929) 578-4977
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003037
NY
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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