# KUMAR PHYSICIAN OFFICE PC

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

## Provider details

- **NPI number:** 1447628342
- **Authorized official:** DR. MANISH KUMAR M.D. (PRESIDENT)
- **Authorized official phone:** (718) 470-0126

## Contact information

- **Practice address:** 25012 HILLSIDE AVE STE B, BELLEROSE, NY 11426-2139
- **Practice address phone:** (718) 470-0126
- **Practice address fax:** (718) 470-0128
- **Mailing address:** 13 WILTON ST, NEW HYDE PARK, NY 11040-3829
- **Mailing address phone:** (718) 470-0126
- **Mailing address fax:** (718) 470-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 265895 | NY | Yes |
| 261QP2300X | Primary Care Clinic/Center | 265895 | NY | — |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 12/16/2015