Ambreen Khalil MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AMBREEN KHALIL MD PC

Practice address

271 Mason Ave
Staten Island, NY 10305-3417

Phone

(443) 762-4225

Fax

(718) 351-2897

NPI assigned

Apr 26, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ambreen Khalil, MD

Title

Practice Owner

Phone

(443) 762-4225

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1649705732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 50 AVE 12 D",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014511",
            "telephone_number": "443-762-4225",
            "fax_number": "718-351-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MASON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053417",
            "telephone_number": "443-762-4225",
            "fax_number": "718-351-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBREEN KHALIL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "AMBREEN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "443-762-4225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.