Khalili, Fereydoun
Khalili, Fereydoun is an sole proprietor health care provider with primary practice located at 103-43 Lefferts Blvd. 2Nd Fl., South Richmond Hill NY 11419. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Khalili, Fereydoun can be contacted via phone (718) 843-5500.Contact Information
Primary practice address
103-43 Lefferts Blvd. 2Nd Fl.
South Richmond Hill NY 11419
Phone: (718) 843-5500
Fax: (718) 841-7600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 046106 | New York |
Profile Details
| NPI number | 1336368141 |
|---|---|
| LBN Legal business name | Khalili, Fereydoun |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | May 14th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336368141 | NPPES |
| New York | MEDICAID | 01644504 |
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