Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 200343 | NY |
NPI | 1427000348 |
---|---|
Provider Name | Khaled Zeitoun |
First Address | New York, NY 10019-6005 |
Second Address | Flushing, NY 11355-3842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 17/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01993939 | (05) | NY |
G33500 | (02) | NY |