# PRAVEEN KUMRAH PODIATRY P.C

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

## Provider details

- **NPI number:** 1295885259
- **Authorized official:** PRAVEEN KUMRAH D.P.M (PRESIDENT)
- **Authorized official phone:** (973) 831-2177

## Contact information

- **Practice address:** 3108 KINGSBRIDGE AVE, BRONX, NY 10463-3956
- **Practice address phone:** (718) 548-1102
- **Practice address fax:** (718) 548-1103
- **Mailing address:** 133 FINCH ROAD, RINGWOOD, NJ 07456
- **Mailing address phone:** (973) 831-2177
- **Mailing address fax:** (973) 839-4684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | NOO5801 | NY | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 09/08/2022