Doctor Name: | DR. ANTOINE GHALY |
NPI Number: | 1396717112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 214389 |
Business Practice Address: | 3037 Military Rd Niagara Falls, NY - 143041224 |
Business Phone Number: | 7162831666 |
Business Fax Number: | 7162831624 |
Mailing Address: | 3037 Military Rd, NIAGARA FALLS |
State: | NY |
Postal Code: | 143041224 |
Phone Number: | 7162831666 |
Fax Number: | 7162831624 |
NPI Enumeration Date: | 02/06/2006 |
NPI Last Update Date: | 06/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 214389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |