Individual
FADY KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2540 30TH RD, ASTORIA, NY 11102-2634
(347) 396-5612
Mailing address
2540 30TH RD, ASTORIA, NY 11102-2634
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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