Individual
NIDAL Y KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
336 78TH STREET, BROOKLYN, NY 11209
(718) 745-6693
(718) 748-4097
Mailing address
336 78TH STREET, BROOKLYN, NY 11209
(718) 745-6693
(718) 748-4097
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
126536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400784
—
NY
Enumeration date
09/01/2006
Last updated
08/10/2021
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