Healthcare Provider Details

I. General information

NPI: 1538318498
Provider Name (Legal Business Name): METROPOLITAN HOSPITAL CNETER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 09/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 1ST AVE
NEW YORK NY
10029-7404
US

IV. Provider business mailing address

333 E 85TH ST AP #3D
NEW YORK NY
10028-5406
US

V. Phone/Fax

Practice location:
  • Phone: 212-423-6262
  • Fax:
Mailing address:
  • Phone: 646-221-1048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number249680
License Number StateNY

VIII. Authorized Official

Name: DR. SAHAR KHALIL
Title or Position: ATTENDING
Credential: MD
Phone: 646-221-1048