# NARINDER KUKAR PHYSICIAN P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265730907
- **Authorized official:** DR. NARINDER MOHAN KUKAR M.D (PRESIDENT)
- **Authorized official phone:** (718) 497-0060

## Contact information

- **Practice address:** 385 SENECA AVE, RIDGEWOOD, NY 11385-1340
- **Practice address phone:** (718) 497-0060
- **Mailing address:** 385 SENECA AVE, RIDGEWOOD, NY 11385-1340
- **Mailing address phone:** (718) 497-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 111361 | NY | Yes |

## Other

- **Enumeration date:** 03/04/2011
- **Last updated:** 12/31/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00200115 | — | NY |
| 01 | — | 24594P | HIP | NY |
| 01 | — | A100047019 | MEDICARE PTAN | NY |
| 01 | — | B14807 | UPIN | NY |
| 01 | — | KS918 | OXFORD | NY |