institution
Tarek R Khater
Mobile Radiology Clinic/Center in Astoria, New York
NPI 1679933998

Tarek R Khater is a Mobile Radiology Clinic/Center based in New York, NY and is specialized in Radiology, Mobile. Tarek R Khater practices in Astoria, NY. The NPI Number for Tarek R Khater is 1679933998 and holds a License No. (New York).

The current practice location address for Tarek R Khater is 2814 31St St, Astoria, NY and can be reached out via phone at 917-960-0821 and via fax at 713-575-3865.

Location: 2814 31St St, Astoria, NY, 10028-0044
institution
Provider Profile Details
NPI Number
1679933998
Provider Name
Tarek R Khater
Credential
Provider Entity Type
Organization
Address
2814 31St St, Astoria, NY, 10028-0044
Phone Number
917-960-0821
Fax Number
713-575-3865
Provider Enumeration Date
02/29/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3517284 01 NY DBA
128919 01 NY MEDICAL LICENSE NYC MRC
00093517 01 CCI
175911 01 ARDMS
91504840501 01 AMA (ME#)
institution
Provider Business Practice Location Address Details
Address
2814 31St St
City
State
Zip
11102
Phone Number
917-960-0821
Fax Number
713-575-3865
person
Provider Business Mailing Address Details
Address
2814 31St St
City
State
Zip
11102
Phone Number
917-960-0821
Fax Number
713-575-3865
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
300724 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile
Taxonomy
License No.
()
Definition
Definition to come...
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