Most Relevant Information
Provider Data
| NPI Number: | 1003477910 |
| Provider Name: | MICHEL EL KHOURY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2019 |
| Last Updated: | 06/23/2019 |
Provider Practice Location
475 SEAVIEW AVE
STATEN ISLAND
NY
103053436
Practice Location Phone/Fax
| Phone: | 7182268855 |
| Fax: |
Provider Mailing Location
475 SEAVIEW AVE
STATEN ISLAND
NY
103053436
Provider Mailing Phone/Fax
| Phone: | 7182268855 |
| Fax: |