# JAIN & KANUMILLI,MD,PC

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

## Provider details

- **NPI number:** 1760463020
- **Authorized official:** SUNITA K JAIN M.D (PRESIDENT)
- **Authorized official phone:** (516) 255-1618

## Contact information

- **Practice address:** 8338 LITTLE NECK PKWY, FLORAL PARK, NY 11004-1626
- **Practice address phone:** (516) 255-1618
- **Mailing address:** 8338 LITTLE NECK PKWY, FLORAL PARK, NY 11004-1626
- **Mailing address phone:** (516) 255-1618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 209803 | NY | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 08/22/2020