| Ambreen Khalil Md Pc | |
|
271 Mason Ave Staten Island NY 10305-3417 | |
| (443) 762-4225 | |
| (718) 351-2897 |
| Full Name | Ambreen Khalil Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 271 Mason Ave, Staten Island, New York |
| Authorized Official Name and Position | Ambreen Khalil (PRACTICE OWNER) |
| Authorized Official Contact | 4437624225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambreen Khalil Md Pc 226 50 Ave 12 D Long Island City NY 11101-4511 Ph: (443) 762-4225 | Ambreen Khalil Md Pc 271 Mason Ave Staten Island NY 10305-3417 Ph: (443) 762-4225 |
| NPI Number | 1649705732 |
|---|---|
| Provider Enumeration Date | 04/26/2017 |
| Last Update Date | 04/26/2017 |
| Medicare PECOS PAC ID | 6406125400 |
|---|---|
| Medicare Enrollment ID | O20170707000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649705732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ambreen Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063564268 PECOS PAC ID: 2163618406 Enrollment ID: I20101129000173 |
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