Individual
GLENDELY KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 W 207TH ST APT 5A, NEW YORK, NY 10034-2662
(347) 951-3506
Mailing address
645 W 207TH ST APT 5A, NEW YORK, NY 10034-2662
(347) 951-3506
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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