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General NPI Number Information
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NPI Number | 1487768073
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Entity Type | Individual
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Provider Name | PETER KHOURI MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | NORTHERN WESTCHESTER HOSPITAL 400 EAST MAIN ST
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City | MOUNT KISCO
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State | NY
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Zip | 10549
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Country | US
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Telephone | 914-666-1371
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E MAIN ST
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3417
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Country | US
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Telephone | 914-666-1371
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Fax | 914-666-1952
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 206726
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License Number State | NY
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