Provider Demographics
NPI:1376777102
Name:KHALIL, YASMINE OSSAMA (DO)
Entity Type:Individual
Prefix:DR
First Name:YASMINE
Middle Name:OSSAMA
Last Name:KHALIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 FRIENDLY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-6312
Mailing Address - Country:US
Mailing Address - Phone:714-588-5706
Mailing Address - Fax:
Practice Address - Street 1:56 FRIENDLY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-6312
Practice Address - Country:US
Practice Address - Phone:714-588-5706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program