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NPI Code Detail

MEDICARE: OMOLBANIN FALAH-KHIR

MEDICARE: OMOLBANIN FALAH-KHIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianP124102NY

General Provider Information

NPI Number : 1720868284
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMOLBANIN FALAH-KHIR
Provider Business Mailing Address
First Line : 2626 HALPERIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2631
Country : US
Telephone Number : 718-618-0401
Fax Number : 347-479-1303
Provider Business Practice Location Address
First Line : 2700 EASTCHESTER RD
Second Line :
City : BRONX
State : NY
Zip : 10469-5923
Country : US
Telephone Number : 718-583-7736
Fax Number : 718-537-6180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2023
Last Update Date : 10/03/2023

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Directions to “ OMOLBANIN FALAH-KHIR ” Practice Location

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