Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 274391 | NY |
NPI | 1083825996 |
---|---|
Provider Name | Marc El Khoury |
First Address | Valhalla, NY 10595-1524 |
Second Address | Valhalla, NY 10595-1652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 24/07/2021 |