Basic Information
Provider Information
NPI: 1578085940
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIN-KHALAF
FirstName: SARAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1276 FULTON AVE FL 4
Address2:  
City: BRONX
State: NY
PostalCode: 104563402
CountryCode: US
TelephoneNumber: 7189018203
FaxNumber:  
Practice Location
Address1: 37 PALMER STREET
Address2:  
City: CALARS
State: ME
PostalCode: 04619
CountryCode: US
TelephoneNumber: 2074547521
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2017
LastUpdateDate: 09/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD24593MEY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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