Provider Demographics
NPI:1821584194
Name:NY PHYSIATRY P.C.
Entity Type:Organization
Organization Name:NY PHYSIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BILAL
Authorized Official - Middle Name:A
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:786-445-0495
Mailing Address - Street 1:10 LYNDON PL
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4255
Mailing Address - Country:US
Mailing Address - Phone:786-445-0495
Mailing Address - Fax:540-300-9321
Practice Address - Street 1:10 LYNDON PL
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-4255
Practice Address - Country:US
Practice Address - Phone:786-445-0495
Practice Address - Fax:540-300-9321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty