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Organization
KENSINGTON PEDIATRICS, PC
Active
Organization
KENSINGTON PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX BULMASH (DIRECTOR OFFICER)
(718) 851-8080
Entity
Organization
Contact information
Practice address
3904 16TH AVE, BROOKLYN, NY 11218-5500
(718) 435-1449
Mailing address
PO BOX 190421, BROOKLYN, NY 11219-0421
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
146343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00787302
—
NY
Enumeration date
02/22/2006
Last updated
08/13/2019
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