Provider Demographics
NPI:1598065369
Name:RISHON MEDICAL SERVICES P.C.
Entity Type:Organization
Organization Name:RISHON MEDICAL SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HABIB
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMKHAJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-703-2266
Mailing Address - Street 1:736 CRAWFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5548
Mailing Address - Country:US
Mailing Address - Phone:917-703-2266
Mailing Address - Fax:
Practice Address - Street 1:1787 MADISON AVE
Practice Address - Street 2:SU 50C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4518
Practice Address - Country:US
Practice Address - Phone:212-348-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218213207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty