Rebecca Revital Khalili, O.D.

NPI #1093197386 in Elmhurst, New York

Provider Information

NPI Number: 1093197386
Entity Type: Individual
Name: Rebecca Revital Khalili, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 23, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 9141 QUEENS BLVD
City: Elmhurst
State: New York
ZIP Code: 11373-5531
Phone: (210) 524-6922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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