Healthcare Provider Details

I. General information

NPI: 1801280771
Provider Name (Legal Business Name): BILLAL TOKHI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TURNPIKE NASSAU UNIVERSITY MEDICAL CENTER DEPARTMENT OF MEDICINE
EAST MEADOW NY
11554
US

IV. Provider business mailing address

100 GRAND ST STE E119
NEW BRITAIN CT
06052-2016
US

V. Phone/Fax

Practice location:
  • Phone: 516-572-6501
  • Fax:
Mailing address:
  • Phone: 860-224-5305
  • Fax: 860-224-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number63509
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: